Villages at Historic Silvercrest the

In the surveyor’s words

From the most serious findings on record at Villages at Historic Silvercrest the, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 15, 2025

  Based on observation, interview, and record review, the facility failed to ensure kitchen equipment, related to the ovens, were properly cleaned and maintained to prevent a fire from occurring. This deficient practice had the potential to affect 36 of 36 residents currently residing on the skilled nursing units. Findings include: Review of the State Complaint Report, dated 4/3/25, indicated at 5:00 a.m., a fire occurred in the right-side oven in the first-floor main kitchen. A hand-held fire extinguisher was utilized by the cook and the fire was put out. The local Fire Department arrived a few minutes later. Upon inspection of the oven, it was clean, but the Director of Food Services discovered a panel in the bottom of the oven that could be removed and cleaned. […]

• No harm, potential for more than minimal, patternF812Jul 22, 2024

  Based on observation, record review, and interview, the facility failed to ensure the kitchen equipment was clean and free from grease and food particles for 3 of 3 kitchen observations. This deficient practice had the potential to affect 46 residents currently residing on the 200 and 300 Halls. Findings include: During an initial tour of the kitchen on 7/15/24 at 9:28 a.m., the following was observed: -A saucer sized whitish/yellow unknown mound was observed on the floor behind the double door heating oven. -Aluminum foil was in the drip pan under the stove top. […]

• No harm, potential for more than minimal, isolatedF550Jul 30, 2025

  Based on record review and interview, the facility failed to ensure residents were treated with dignity and respect for 1 of 12 residents reviewed for dignity. (Resident 52) Findings include:The record for Resident 52 was reviewed on 7/25/2025 at 9:56 a.m. The resident's diagnoses included, but were not limited to, arthrodesis status, cervical disc disorder with myelopathy of the cervical region, spondylosis with radiculopathy of the lumbar region, spinal stenosis of the lumbar region with neurogenic claudication, stage 3 chronic kidney disease, pulmonary fibrosis, severe morbid obesity, and anxiety disorder. The care plan, dated 6/2/25, indicated the resident was at risk for pain related to spinal stenosis, cervical fusion, and radiculopathy. […]

• No harm, potential for more than minimal, isolatedF755Jul 30, 2025

  Based on record review and interview, the facility failed to ensure narcotics were administered by physician's order, to obtain nursing permission, or document the narcotic count was accurate for 1 of 25 residents reviewed for medication administration. (Resident 52) Findings include:The record for Resident 52 was reviewed on 7/25/2025 at 9:56 a.m. The resident's diagnoses included, but were not limited to, arthrodesis status, cervical disc disorder with myelopathy of the cervical region, spondylosis with radiculopathy of the lumbar region, spinal stenosis of the lumbar region with neurogenic claudication, stage 3 chronic kidney disease, pulmonary fibrosis, severe morbid obesity, and anxiety disorder. […]

• No harm, potential for more than minimal, isolatedF684Dec 18, 2024

  Based on interview and record review, the facility failed to identify an abnormal bowel pattern for a resident (Resident B) with a previous diagnosis of C-diff for 1 of 3 residents reviewed for quality of care. Findings include: The clinical record for Resident B was reviewed on 12/16/24 at 10:03 a.m. The resident's diagnoses included, but were not limited to, irritable bowel syndrome and a history of C-diff (Clostridium difficile). The progress note, dated 9/15/24 at 3:10 p.m., indicated the resident was confused with incoherent speech. The nurse practitioner was notified with a new order given for a urine dispstick. […]