Villa Manor Care Center

In the surveyor’s words

From the most serious findings on record at Villa Manor Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF887Mar 26, 2026

  Based on record review and interviews, the facility failed to develop and implement policies and procedures related to immunizations for five (#4, #6, #12, #38 and #58) of five residents reviewed for immunizations out of 37 sample residents.Specifically, the facility failed to:-Ensure the residents medical records indicated the resident or resident representative was provided education regarding the benefits and potential risks associated with COVID-19 vaccine; and,-Ensure the residents medical records documented if the resident did not receive the COVID-19 vaccine due to medical contraindications or refusal. Findings include:I. […]

• No harm, potential for more than minimal, patternF880Mar 26, 2026

  Based on observations, record review and interviews, the facility failed to ensure infection prevention and control programs (IPCP) were maintained and followed to provide a safe, sanitary and comfortable environment for residents and to help prevent the development and transmission of communicable diseases and infections for two of three units. Specifically, the facility failed to ensure staff wore the appropriate personal protective equipment (PPE) while providing care to residents who were on enhanced barrier precautions (EBP). Findings include: I. […]

• No harm, potential for more than minimal, patternF677Mar 19, 2025

  Based on record review and interviews, the facility failed to ensure residents who were unable to carry out activities of daily living (ADL) received the necessary services to maintain good grooming and personal hygiene for two (#1, #2 and #3) of four residents reviewed for bathing out of four sample residents. Specifically, the facility failed to ensure Resident #1, Resident #2 and Resident #3, who were dependent on staff for bathing, received their scheduled showers. Cross-reference F725: failure to have adequate nurse staffing. Findings include: I. Facility policy and procedure The Activities Of Daily Living (ADLs) policy, revised 2/12/24, was provided by the nursing home administrator (NHA) on 3/19/25 at 2:21 p.m. […]

• No harm, potential for more than minimal, patternF725Mar 19, 2025

  Based on record review and interviews, the facility failed to provide sufficient nursing staff to ensure the residents received the care and services they required in a timely manner. Specifically, the facility failed to ensure residents received their showers as scheduled and incontinence care in a timely manner for residents dependent on staff for their care. Cross reference F677: failure to provide activities of daily living for dependent residents. Findings include: I. Facility policy and procedure The Staffing policy, revised 8/7/23, was provided by the nursing home administrator (NHA) on 3/19/25 at 2:21 p.m. It read in pertinent part, The facility maintains adequate staff on each shift to meet the residents' needs. […]

• No harm, potential for more than minimal, patternF584Mar 27, 2024

  Based on observations, interviews and record review the facility failed to provide a safe, functional and comfortable environment to meet resident needs in six of nine resident rooms. Specifically, the facility failed to: -Ensure resident room temperatures on the 100 unit resident hallway were between 71-81 degrees Fahrenheit. -Fix a broken furnace blower on the 100 unit hallway, which would have provided back up heat to the facility rooms when thermostats were below 71 degrees; and, -Ensure the resident's living room area on the 100 unit had heat between 71-81 degrees. Findings include: I. Facility policy and procedure The Keeping a Resident's Room in Order policy, revised 7/17/23, was provided by the director of nursing on 3/27/24 at 11:14 a.m. […]