Villa del Sol Post Acute

In the surveyor’s words

From the most serious findings on record at Villa del Sol Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF689May 11, 2023

  Based on interview and record review, the facility failed to ensure the resident, who had lower extremities paralysis (inability to move the legs and lower body, typically caused by spinal injury or disease), a right leg below the knee amputation [(BKA) surgical removal of leg below the knee), and was unable to stand without support, was free from falls and injuries during transfer with a mechanical lift (a device designed to help caregivers move a person from a sitting to standing position and from one place to another) for one of three sampled residents (Resident1). The facility failed to: 1. […]

• No harm, potential for more than minimal, widespreadF880Apr 4, 2025

  46537 51860 Based on observation. interview and record review, the facility failed to implement infection control measures by failing to: A. Ensure Legionella (a type of bacteria that is naturally found in [NAME] environments, such as lakes and streams) water testing was done annually per the facility's policy and procedure. B.Ensure Resident 57's visitors wore personal protective equipment (PPE, clothing and equipment worn or used to provide protection against hazardous substances and/or environments) while visiting Resident 57, who was on enhanced barrier precaution (EBP, infection control intervention using gown and gloves during high contact with a resident, designed to reduce transmission of multi-drug resistant organisms). […]

• No harm, potential for more than minimal, widespreadF880Sep 20, 2023

  Based on observation, interview, and record review, the facility failed to implement infection control practices to prevent the development and transmission of communicable diseases and infections. The facility failed to: a. ensure Licensed Vocational Nurse 2 (LVN 2) and Certified Occupational Therapist Assistant (COTA) doff (removed) and discard N95 (a respiratory protective device designed to achieve a very close facial fit and very efficient filtration of airborne particles) mask used for resident care in the Red zone (designated isolation area for residents who tested positive for Corona virus- 19 [COVID-19, a highly contagious infection, caused by a virus that can easily spread from person to person]) prior to exiting the Red zone and after the resident care encounter and don (put on… […]

• No harm, potential for more than minimal, patternF584Jul 27, 2026

  Based on observation, interview, and record review, the facility failed to ensure the room temperature of two of twelve sampled residents (Resident 3 and Resident 13) was within normal range (71-81 Fahrenheit [a temperature scale used to measure freezing and boiling degrees under standard atmospheric pressure]). The thermostat of Resident 3 and Resident 13's room was 85 degrees Fahrenheit. This failure resulted in Resident 3 and Resident 13 feeling uncomfortable and frustrated and had the potential to negatively affect their quality of life.Findings: A. […]

• No harm, potential for more than minimal, patternF755Jun 29, 2026

  Based on interview and record review the facility failed to ensure one of three residents' (Resident 1) prescription (physician ordered) medications were acquired and administered in a timely manner.The failure resulted in a disruption of Resident 1's treatment plan and had the potential to delay recovery and put Resident 1's health at risk.Findings:During a review of Resident 1's admission Record, the admission Record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses including Type 2 Diabetes (chronic condition where the body either resists the effects of insulin or doesn't produce enough to maintain normal glucose levels) with foot ulcer (open sore), end stage renal disease (ESRD -irreversible kidney failure), atherosclerosis of coronary artery bypass graft (the… […]