Villa at Stamford, The

In the surveyor’s words

From the most serious findings on record at Villa at Stamford, The, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 12, 2022

  Based on clinical record review, facility documentation, facility policy, and interviews for one sampled resident (Resident #1) who was reviewed for accidents, the facility failed to develop a care plan with interventions for the resident's known behavior of pushing the bed against the heating system and laying his/her head on the radiator unit to prevent an injury, a neck burn. The findings include: Resident #1's diagnoses that included dementia, metabolic encephalopathy, and psychoactive substance abuse. […]

• No harm, potential for more than minimal, patternF726Jun 3, 2026

  Based on review of the Facility Assessment, facility documents, facility policy and interviews for 8 out of 11 licensed staff (agency and facility staff), the facility failed to ensure licensed staff competencies for Intravenous(IV) line management were completed for 2025 and for a sampled from 3 residents (Residents # 152, # 154 and # 155) having received IV therapy in 2025-2026, 5 agency licensed staff and three employees did not have certificates or competencies on file for 2025. The findings include: On 6/2/2026 at 11:25 AM an interview and facility document review with the Staff Development Nurse (RN #3) who provided licensed nurse IV line management certificates competencies were completed every 2 years by the facility. […]

• No harm, potential for more than minimal, patternF684Jul 30, 2024

  Based on clinical record reviews, facility policy review, and interviews for one sampled resident (Resident #28) reviewed for dental services and for one sampled resident (Resident #45) with a surgical incision, the facility failed to follow dental orders as a prerequisite for a tooth extraction, and failed to administer the prescribed treatment to the left chest in accordance with the physician's order, The findings include: 1. Resident #28 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF761Feb 2, 2022

  Based on observations, review of facility policy, and interviews, for 6 medication carts, the facility failed to maintain medication carts in a clean and sanitary manner. The findings include: 1. Observation of the East 1 - B unit medication cart on 2/1/22 at 8:15 AM with the ADNS and LPN #2 identified a moderate amount of loose pills of assorted sizes and colors and blister pack back covers located at the bottom of the first and second drawer. Interview on 2/1/22 at 8:15 AM with LPN #2 on the East 1 - B unit identified she was not aware of the loose pills and blister pack back covers located at the bottom of the first and second drawer. LPN #2 indicated it is every nurse responsibility to clean the medication cart and after themselves. 2. […]

• No harm, potential for more than minimal, isolatedF584Jun 3, 2026

  Based on resident interviews, observations a review of facility practices and staff interviews, the facility failed to provide a comfortable, homelike dining experience for residents on 1 of 2 floors reviewed, the facility failed to ensure meals were not served on trays in a dimly lit dining room, residents not received meals at varying times, and ensure no delays in meal delivery to residents who eat in their rooms. The findings included: Resident interviews conducted during the facility tour identified concerns regarding meal service delays. Resident #36 reported that meals delivered to his/her room were frequently received late and he/she often waited extended periods for meal delivery after food had arrived at the nursing unit. […]