Villa Springfield Rehabilitation and Healthcare Ce

In the surveyor’s words

From the most serious findings on record at Villa Springfield Rehabilitation and Healthcare Ce, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 13, 2025

  Based on observation, staff interview, and policy review, the facility failed to ensure food was stored in a manner to prevent the potential spread of foodborne illness. This had the potential to affect 91 of 93 residents in the facility. The facility identified two Residents (#44 and #52) who did not receive food from the facility. The facility census was 93. Findings include: Observation of the Memory Care Unit refrigerator and freezer on [DATE] at 10:58 A.M. with Certified Nursing Assistant (CNA) #144, revealed the following: 1. A health shake carton opened but not labeled or dated. 2. A 3-compartment plastic protein pack containing lunch meat chunks and cheese, which was opened and partially consumed, was not labeled nor dated. 4. […]

• No harm, potential for more than minimal, widespreadF880Feb 13, 2025

  Based on observation, staff interview, record review, employee file review, and facility policy review, the facility failed to track employee call offs related to personal illness as part of the facility surveillance program for infectious diseases. This had the potential to affect all 93 residents who resided in the facility. The facility also failed to ensure annual employee Tuberculosis (TB) screenings were completed. This affected seven employees (Housekeeping Supervisor #103, Licensed Practical Nurses [LPNs] #136, 137 and #154, Certified Nursing Assistants [CNA] #153 and #173, and [NAME] #190) of the seven employee files reviewed but had the potential to affect all residents. […]

• No harm, potential for more than minimal, widespreadF885Feb 13, 2025

  Based on record review, staff interview, review of online guidance from Centers for Medicare and Medicaid Services (CMS), the facility failed to notify the resident's representatives and /or families of the facility's Coronavirus 2019 (COVID-19) status during an outbreak. This had the potential to affect all residents at the facility. The facility census was 93. Findings include: Review of the medical record for Resident #48 revealed the resident was admitted to the facility on [DATE]. Diagnoses included COVID-19, hereditary and idiopathic neuropathy, essential primary hypertension, mixed hyperlipidemia, metabolic encephalopathy, obstructive and reflux uropathy, hypomagnesemia, hypokalemia, and vitamin D deficiency. […]

• No harm, potential for more than minimal, widespreadF812Jun 13, 2022

  Based on observation, staff interview, and policy review, the facility failed to ensure storage of equipment and foods were kept in a safe manner. This had the potential to affect all 81 residents residing in the facility who received meals from the kitchen. Findings include: Observations on [DATE] from 9:05 A.M. to 9:30 A.M. of the initial tour of the kitchen with Dietary Manager (DM) #167 revealed there was a thick layer of dust-like particles noted on the hood and vent above the grill. There were seven out of eleven pans observed were stored on the shelf wet. The sanitation testing strips had expired on [DATE], which were being currently used to test the chemical levels of the three-sink sanitation. […]

• No harm, potential for more than minimal, widespreadF880Sep 15, 2021

  Based on staff interviews, record review, review of the Centers for Disease Control and Prevention (CDC) guidance, and review of the facility's policy, the facility failed to ensure all staff were screened on entrance to the facility for signs and symptoms of COVID-19, temperature, and exposure before entering facility to prevent the potential spread of COVID-19. This affected two of three staff reviewed for screening. This had the potential to affect all 70 residents who resided in the nursing home. Findings include: 1. […]