Villa Marin

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 18, 2023

  Based on interview and record review, the facility failed to provide adequate supervision to one of two residents at risk for falls (Resident 117) when Resident 117 was left unsupervised on her wheelchair after lunch. This failure resulted in Resident 117 getting up from the wheelchair unassisted, falling, injuring her head, right knee, elbow, and being sent to the hospital for evaluation and treatment of her injuries. Findings: A review of Resident 117's Admission Record indicated she was admitted to the facility on [DATE] with diagnoses including hemiplegia (paralysis) and hemiparesis (weakness or inability to move) following cerebral infarction (stroke ) affecting the left side of the body. […]

• No harm, potential for more than minimal, widespreadF761Aug 6, 2026

  Based on observation and interview, the facility failed to maintain a reliable and safe system for the storage and disposal of medications for a census of 16 residents when:1. Over the counter (OTC) medications stored in an active medication cart were not stored in its original packaging;2. Resident 17's expired medications remained in an active medication cart;3. Medications stored in the medication room were stored in a disorganized and unsafe manner, and;4. Expired medications for Resident 17 and Resident 31 were not disposed of properly.These failures increased the potential for medication misuse or diversion, administration of expired or compromised medications, and harm to residents due to unsafe and unreliable medication management practices.1. […]

• No harm, potential for more than minimal, widespreadF812Aug 6, 2026

  Based on observation, interview and record review, the facility failed to prepare and store food in a sanitary manner for a census of 16 residents when:Multiple refrigerated and frozen food items were kept ready-for-use past the use-by dates,Multiple refrigerated food items had no date labels or illegible labels,Unwrapped food was found open-to-air in refrigerator and freezer,Boxes of food items and produce were stored directly on cement floor,A large, dented food can was found in ready-for-use dry storage,Sanitizing test strips for three-compartment-sink process were expired, and;Multiple plastic cutting boards had deep scratches and were peeling.These failures had the potential to result in foodborne illnesses and spread of infections in a vulnerable resident population.1. […]

• No harm, potential for more than minimal, widespreadF880Aug 6, 2026

  Based on observation, interview, and record review, the facility failed to follow CDC (Centers for Disease Control, the national public health agency of the United States) recognized recommendations for infection prevention and facility policy when:Respiratory care supplies were not properly stored and labeled for two residents (Resident 1 and Resident 17);Enhanced Barrier Precautions (EBP, infection control measures used in nursing homes to stop the spread of drug-resistant germs) were not initiated for two residents (Resident 1 and Resident 25) with indwelling medical devices (refers to a medical device left inside the body), and;A glucometer (a small, portable medical device used to measure the amount of sugar (glucose) in the blood) was found soiled in the medication storage room.These… […]

• No harm, potential for more than minimal, widespreadF801Nov 18, 2025

  Based on interviews and record review, the facility failed to ensure sufficient staff to fulfill the responsibilities of a full-time supervisor of the Skilled Nursing Facility food and nutrition service.This failure had the potential to place residents at risk for impaired nutritional status.Findings:During an interview on 9/24/25 at 2:42 p.m. with Registered Dietician (RD), RD stated she worked at the facility a minimum of eight hours a week, and that the dietary lead (DL) oversaw tray line, menus, snacks, supplements, and meal preferences for skilled nursing residents. RD stated that the DL reported to the General Kitchen Manager (GKM).During an interview on 9/24/25 at 3:28 p.m. with GKM, GKM stated he oversaw assisted living and skilled nursing units. […]