Village Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF600Nov 17, 2023

  Based on interviews, record reviews, and facility documents and policy review, it was determined the facility failed to protect residents' right to be free from physical abuse by a resident for eight (8) (Residents #94, #9, #3, #34, #235, #29, #335, and #87) of 19 residents reviewed for abuse. The findings included: Review of the facility's policy titled, Abuse, Neglect, Mistreatment and Misappropriation of Resident Property, with a review date of 11/07/2022, revealed, Abuse is the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain, or mental anguish. […]

• No harm, potential for more than minimal, isolatedF550Nov 19, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 4 of 32 sampled residents (Resident (R) 2, R3, R41, and R84.Observation on 09/23/2025 during dinner service in the second-floor dining room revealed R3 did not receive his food at the same time as those that sat at his table did. Additionally, State Registered Nurse Aide (SRNA )7 was observed standing beside R2 feeding and coaxing her to eat, and SRNA5 was observed sitting between two residents, R41 and R84, feeding both simultaneously. […]

• No harm, potential for more than minimal, isolatedF600Nov 19, 2025

  Based on interview, record review, and review of the facility's policy, the facility failed to ensure residents were free from verbal and physical abuse. This deficient practice resulted in actual harm for 1 out of 4 sampled residents, Resident (R) 13.On 09/14/2025, R13 stated State Registered Nurse Aide (SRNA) 12 was mean and hurtful during care. R13 reported SRNA12 lifted her legs in the air and then dropped them onto the bed, which hurt her back. She further stated SRNA12 handled her roughly during care, causing pain in her arm. […]

• No harm, potential for more than minimal, isolatedF812Nov 19, 2025

  Based on observation, interview, record review, and review of the facility's policies, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 3 resident refrigerators, the refrigerator located on the second floor.Observation on 09/24/2025 of the resident refrigerator located on the second floor revealed two unlabeled lunch boxes sitting next to resident food.The findings include:Review of the facility's policy titled, Use and Storage of Food Brought in by Family or Visitors, reviewed 11/2024, revealed it was the right of the residents of the facility to have food brought in by family or other visitors; however, the food must be handled in a way to ensure the safety of the resident. […]

• No harm, potential for more than minimal, isolatedF602Nov 17, 2023

  Based on interviews, record review, facility document and policy review, it was determined the facility failed to ensure a resident was protected against misappropriation of property for one (Resident #95) of 1 sampled resident reviewed for misappropriation of property. The findings included: Review of the facility's policy titled, Abuse, Neglect, Mistreatment and Misappropriation of Residents' Property, undated, revealed, It is the policy of the facility to encourage and support all residents, staff, families, visitors, volunteers and resident representatives in reporting any suspected acts of abuse, neglect, exploitation, involuntary seclusion or misappropriation of residents' property. […]