Village on the Isle

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF692May 16, 2024

  Based on record review and staff interviews, the facility failed to obtain daily weights as ordered for 1 (Resident #4) of 1 resident reviewed with congestive heart failure, which may cause the resident to retain fluids. The findings included: The facility policy Physician Services with a date of June 13, 2018, documented, . All physician orders will be followed as prescribed and if not followed, the reason shall be recorded on the resident's medical record during that shift . Review of the clinical record revealed Resident #4 had a readmitted [DATE]. […]

• No harm, potential for more than minimal, isolatedF700May 16, 2024

  Based on observation, staff interviews, record review, and review of facility policy and procedure, the facility failed to ensure 1 (Residents #3) of 3 residents reviewed with grab bars was assessed for alternative interventions prior to the use of grab bars. The facility failed to assess for danger of entrapment prior to use of the use of the grab bars and failed to conduct periodic maintenance of the grab bars to ensure they remained safe for resident's use. The facility had a total of 30 residents using grab bars. The findings included: The facility policy bedrails dated 6/11/18 documented, The facility shall provide adequate management of bedrails to ensure that residents attain or maintain the highest practicable physical, mental and psychosocial well-being. […]

• No harm, potential for more than minimal, isolatedF761Jan 20, 2023

  Based on observation, review of facility's policy and procedure, staff and resident interviews, the facility failed to label, and safely store medications for 3 (Resident #19, #21, #16) of 4 residents observed with unsecured medications at the bedside. The findings included: The facility policy titled Resident Self-Administration of Medications dated June 13, 2018 Specified, If medications are stored at the resident's bedside, a lockbox or locked drawer must be used to store the medication(s). 1. On 1/17/23 at 11:02 a.m., and on 1/18/23 at 12:45 p.m., an over the counter bottle of Tylenol and Tylenol PM were observed stored unsecured at Resident #16's bedside. […]