Village Care Center Inc

In the surveyor’s words

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

• Actual harm, isolatedF600Mar 23, 2026

  Based on interview and record review, the facility failed to protect one resident's right to be free from mental and physical abuse when during care, as three staff were providing cares, RN A forcefully pushed the residents wheelchair forward and pulled it back and told the resident something to the effect of Ride'em cowgirl, verbally threatened to shame/humiliate the resident publicly for his/her behavior of taking off his/her clothes in public, when the resident resisted cares and made a biting motion, RN A told the resident babies bite. […]

• No harm, potential for more than minimal, widespreadF801Apr 8, 2026

  Based on interviews and facility job description review, the facility failed to employ either a full time Registered Dietitian (RD) or a qualified Dietary Manager (DM) to carry out the functions of the food and nutrition services. This failure had the potential to affect 29 residents who received food from the kitchen. The facility census was 29.Review of the facility job description, Dietary Manager, (DM) undated, showed:- Position reports to the Administrator and Director of Nursing (DON).- Dietary Manager (DM) is responsible for the overall operation of the dietary department, ensuring the provision of safe, nutritious, and appealing meals in accordance with physician orders, resident preferences, and regulatory requirements. […]

• No harm, potential for more than minimal, widespreadF801Mar 28, 2025

  Based on observation and interviews, the facility failed to ensure the Dietary Manager (DM) had the appropriate competencies and skills sets to carry out the functions of the food and nutritional services. The facility census was 35. 1. The facility did not provide a policy for the Dietary Manager qualifications. During an interview on 3/27/25 at 9:42 A.M., Dietary Manager said: -He/She has worked at the facility for ten years; -He/She has been the Dietary Manager for a year; -He/She did not have any dietary manager certifications; -He/She did not know what certifications were required for a dietary manager; -He/She was not currently enrolled in classes for dietary manager certifications; -He/She needed to make a plan with the dietician about enrolling in dietary certification classes. […]

• No harm, potential for more than minimal, widespreadF812Mar 28, 2025

  Based on observation, interview, and record review, the facility failed to prepare and serve food in accordance with professional standards for food service safety when staff failed to keep a record of the dishwasher temperature and chemical tests, failed to cease using dishwasher when temperatures did not meet requirements, failed to keep a daily record of refrigerator temperatures, failed to wash hands in between tasks and in between glove changes, failed to label and date all foods upon receiving and upon opening, failed to ensure kitchen was clean and in good repair, and failed to ensure dishwasher temperature reached minimum temperatures. The facility census was 35. 1. […]

• No harm, potential for more than minimal, patternF695Apr 8, 2026

  Based on observation, interview and record review, the facility staff failed to provided proper respiratory care when staff failed to date the oxygen tubing when replaced for one of the 12 sampled residents, (Resident #26), failed to change and date oxygen tubing for Resident #29 and failed to change and date nebulizer tubing for Resident #5 and #29, and additionally, when staff failed to properly clean oxygen concentrator filters for two residents (Resident #16 and #29), The facility census was 29. […]