Village Point

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Apr 2, 2026

  Complaint: 2809139Based on interviews, review of medical records, and review of other pertinent facility documents on 3/30/2026, it was determined that the facility failed to ensure that residents (Resident #2 and Resident #3) were free of significant medication errors. On 3/12/2026, a Nurse Trainee Licensed Practical Nurse, (LPN#1) who was assigned with a preceptor (LPN#3) administered the wrong medications to Resident #2. The resident had no adverse reaction to the wrong medications. LPN #1 was re-educated by staff that same day about medication administration. A second medication error occurred on 3/18/2026 when LPN #1 who was assigned with a preceptor LPN #2 administered wrong medications to Resident #3. […]

• Actual harm, isolatedF692Nov 20, 2023

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to: a.) consistently identify, comprehensively assess, implement, and modify interventions for an unplanned significant weight loss of 33.4 pounds (lbs) which was 17.7% in 6 months from 04/06/23 through 10/18/2023, then an additional 8.6 lbs which was (5.25%) in 15 days from 10/18/23 through 11/01/23, b.) implement weekly weights for 4 weeks after a significant weight loss occurred; c.) monitor for effectiveness, and ensure coordination of care among the interdisciplinary team for Resident #23 and d.) obtain a re-weight to verify a significant weight loss, consistently record and monitor meal consumption, and ensure a recommended nutritional supplement was… […]

• No harm, potential for more than minimal, widespreadF812Nov 20, 2023

  Based on observation, interview and document review it was determined that the facility failed ensure: a) the kitchen environment and equipment was maintained in a clean and sanitary manner, b) the dish machine was functioning in a manner to ensure proper wash and rinse temperatures were maintained, c) refrigerated resident food storage areas (3 of 4 observed) were maintained in a clean manner and food was appropriately labeled and dated, and d) staff performed appropriate hand hygiene, to limit potential bacteria growth and potential food borne illness. […]

• No harm, potential for more than minimal, widespreadF812Dec 3, 2021

  Based on observation, interviews, and review of facility documentation it was determined that the facility failed to a.) properly label, date and store potentially hazardous foods and dry foods in a manner that is intended to prevent the spread of food borne illnesses and b.) maintain equipment and kitchen areas in a manner to prevent microbial growth and cross contamination. This deficient practice was observed and evidenced by the following: On [DATE] at 07:53 AM the surveyor toured the kitchen in the presence of the Dietary Aide (DA) and observed the following: 1. The foot pedal trash can at handwashing sink #2 was not lined with a trash bag and both trash and food debris were observed in the can. 2. […]

• No harm, potential for more than minimal, widespreadF880May 26, 2021

  Based on observation, interview, record review, and a review of facility documentation, it was determined that the facility failed to maintain infection control standards and procedures to address the risk of infection transmission by failing to: a.) follow appropriate isolation precaution protocols for residents maintained on a Transmission-Based Precautions (TBP) unit for Persons under investigation/observation (PUI) from potential exposure (a COVID-19 positive staff member and two COVID-19 positive residents) for 9 of 26 residents; Resident's #1, 2, 3, 4, 5, 6, 7, 8, and 9; b.) ensure staff don (put on) appropriate Personal Protective Equipment (PPE) before entering a PUI room for 2 of 2 PUI units (Sandlewood and Aspen) toured; and, c.) ensure staff visited rooms in the appropriate… […]