Village Green Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Village Green Rehabilitation and Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 7, 2022

  THIS IS AN INCIDENCE OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on closed medical record review, review of hospital records, review of staff statements, interviews with facility staff, Nurse Practitioner (NP) #511, the Medical Director (MD) #800, Orthopedic Physician #524 and a family member, and review of facility policy, the facility failed to ensure Resident #50 was free from neglect, when staff failed to provide appropriate care and services to ensure the resident received timely care and/or treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #50 developed bruising and swelling to the left knee which was not timely assessed and/or treated. […]

• Immediate jeopardy, isolatedF689Mar 7, 2022

  THIS IS AN INCIDENCE OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on closed medical record review, review of hospital records, review of staff statements, review of facility Certified Resident Care Assistant (CRCA) sheet, interviews with facility staff, Nurse Practitioner (NP) #511, Medical Director (MD) #800, Orthopedic Physician #524 and a family member, and review of facility policy, the facility failed to provide Resident #50 with necessary and appropriate assistance with bed mobility during incontinence care resulting in the resident falling out of bed. […]

• No harm, potential for more than minimal, widespreadF812Jul 9, 2026

  Based on observation, staff interview, and review of facility policies, the facility failed to properly store and serve food in a manner to prevent contamination and spoilage. This had the potential to affect 49 residents that receive food from the kitchen. The facility identified one resident (#47) that did not eat food form the kitchen. The census was 50. Findings include: 1. Observations on 07/06/26 from 8:16 A.M. to 8:19 A.M. of the walk-in freezer revealed a plastic storage bag of pepperoni slices that were not sealed, a plastic storage bag of shredded cheese with no label or date, a plastic storage bag of an unknown meat with no label or date, and a plastic storage bag of onion rings with no date. […]

• No harm, potential for more than minimal, patternF755Jul 2, 2025

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, staff interview and policy review, the facility failed to ensure medications were administered as ordered. This affected four (#50, #11, #29 and #19) out of four residents reviewed for medication administration. The facility census was 49. Findings include: 1. Review of Resident #50 closed medical record revealed an admission on [DATE] with diagnoses including atrial fibrillation, heart failure, kidney failure and hypothyroidism. Review of Resident #50 quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed intact cognition. Resident #50 required extensive assistance for bed mobility, transfers, and toileting. […]

• No harm, potential for more than minimal, isolatedF880Jul 9, 2026

  Based on medical record review, observation, staff interview, and policy review, the facility failed to ensure staff followed proper infection control practices for residents on contact precautions. This affected one (#63) of three residents reviewed for transmission-based precautions. The facility census was 50. Findings include:Review of the medical record for Resident #63 revealed an admission date of 06/19/26. Diagnoses included rhabdomyolysis, type two diabetes mellitus with other specified complication, unspecified protein-calorie malnutrition, and hypertension.Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #63 had moderately impaired cognition. […]