Vicar's Landing Nursing Home

In the surveyor’s words

From the most serious findings on record at Vicar's Landing Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jul 30, 2025

  Based on kitchen food service observations, staff interviews, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness, with the potential to affect more than a limited number of residents who consumed foods from the facility, by failing to seal and date mark open food used for resident consumption in the dietary service area. Food handling and sanitation is important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure.The findings include: A follow-up tour of the kitchen was conducted on 07/30/2025 at 11:16 AM. […]

• No harm, potential for more than minimal, isolatedF695Jul 30, 2025

  Based on observations, interviews, record review, and facility policy and procedure review, the facility failed to ensure that residents who needed respiratory care received oxygen therapy as ordered for one (Resident #4) of 23 residents receiving oxygen therapy in a total survey sample of 26 residents. The findings include: On 7/28/2025, at 12:47 PM, Resident #4 was observed in her room in a chair beside her bed in a hospital gown. She was receiving oxygen via nasal cannula. She reported she received oxygen at a flow rate of two liters per minute (2 L/min). The oxygen concentrator was in her bathroom, not within arm's reach of the resident, and was set at 3 L/min. […]