Villa Marina Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Villa Marina Health and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 18, 2025

  Based on observation, interview and record review, the facility did not prepare, distribute and serve food in accordance with professional standards for food service safety for 64 of 64 residents resulting in possible contamination of all residents' food.Facility staff did not wear gloves during preparation and serving of food,Facility staff did not perform hand hygiene and don new gloves after touching contaminated surfaces. This is evidenced by:The facility policy titled, Handling Raw Foods, updated 06/25/2012, states in part, Plastic food service gloves will be worn .when hands will be in direct contact with food and for preparing food to eat .Single use gloves will be used for only one task, used for no other purpose and discarded when damaged, soiled or interruptions occur in… […]

• No harm, potential for more than minimal, widespreadF812Jul 24, 2024

  Based on observation and interviews, the facility did not ensure they distributed and served food in accordance with professional standards for food service safety. Facility did not take temperatures of food served to residents from the anytime menu; this had the potential to affect 3 residents (R9, R58, and R65) out of 70. The temperature log was not completely filled out; this has the potential to affect all 70 residents. Temperatures of beverages served were not being done; this has the potential to affect all 70 residents. Findings include: Facility policy titled Food Temperatures reads in part Food temperatures will be taken and recorded when food removed from oven or refrigerator at start of food service at each meal. […]

• No harm, potential for more than minimal, widespreadF880Jul 24, 2024

  Based on interview and record review, the facility did not describe building water systems using a flow diagram where legionella and other opportunistic waterborne pathogens can grow and spread. This has the potential to affect all 70 residents in the facility. This is evidenced by: The facility policy, entitled, Water Management Program to Reduce Legionella Growth & Spread, indicates, in part, Our facility is committed to the prevention, detection and control of water-borne contaminants, including Legionella . 1. Legionella can grow in parts of building water systems that are continually wet ., and certain devices can spread contaminated water droplets via aerosolization. 2. […]

• No harm, potential for more than minimal, patternF880Sep 18, 2025

  Based on observation, interview and record review, the facility did not maintain an infection prevention program designed to provide a safe and sanitary environment to prevent the transmission of communicable disease and infection. This had the potential to affect 9 of 64 residents. (R3, R32, R14, R43, R48, R58, R12, R46 and R51) Staff did not perform hand hygiene during water pass and in between residents. This had the potential to affect 7 of 7 residents (R) observed during water pass (R3, R32, R14, R43, R48, R58, R12). Staff did not maintain a clean environment during dressing change. […]

• No harm, potential for more than minimal, patternF583Jul 24, 2024

  Based on observation, interview and record review, the facility did not maintain confidentiality of resident medical record information for 4 of 7 sampled and supplemental residents (R) (R55, R25, R70, and R1) reviewed. This is evidenced by: Surveyor requested and reviewed the facility policy titled Security of Medication Cart dated April 2007. The policy in part reads: ~2. The medication cart should be parked in the doorway of the resident's room during the medication pass. The cart doors and drawers should be facing the resident's room . Surveyor requested and reviewed the facility policy titled Annual HIPAA Privacy and Security Training dated 2014. […]