Villages Healthcare and Rehabilitation Center, The

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Feb 15, 2024

  Based on observation, interview, and record review, the facility failed to ensure food items were properly labeled or discarded upon expiration, failed to ensure test strips were not expired, and failed to ensure the kitchen environment and equipment were kept clean (Photographic evidence obtained). Findings include: During observation on [DATE] at 9:15 AM while conducting a walk-through tour of the kitchen with the Certified Dietary Manager (CDM), there were pooling of water in the dish room, dirty towels were placed under the juice containers, and test strips expired on [DATE] were being used for the pot and pan sink. […]

• No harm, potential for more than minimal, widespreadF812Sep 9, 2022

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety and maintain kitchen equipment in a clean and sanitary condition in the main kitchen and 4 of 4 neighborhood kitchens, potentially affecting all 114 residents, and the facility failed to serve food in accordance with professional standards for food service safety in 1 of 2 neighborhoods observed. Findings include: 1. During the initial tour with the Food Services Manager on 9/6/2022 beginning at 9:09 AM, the following were observed: a) Chopped ham and carrots in the walk-in refrigerator that were not labeled or dated, b) Raw frozen hamburger patties open to the air in the freezer, with the plastic covering not closed over the meat, c) A… […]

• No harm, potential for more than minimal, widespreadF812Mar 18, 2021

  Based on observation, interview and record review the facility failed to ensure food was stored and served in a sanitary manner to prevent the possible spread of food borne illness. Findings: 1. A tour of the 200 Hall satellite kitchen was completed with the facility Certified Dietary Manager on 03/15/2021 beginning at 10:20 AM. The juice dispenser drip tray was filled with a liquid substance and there was a brown and black speckled substance built up on the interior door and rim surfaces of the machine. During an interview on 03/15/2021 at 10:22 AM, the facility Certified Dietary Manager confirmed the juice dispenser drip tray needed to be emptied and the interior surfaces of the juice machine needed to be cleaned. […]

• No harm, potential for more than minimal, patternF761Sep 9, 2022

  Based on observation, interview, and record review, the facility failed to ensure that the drugs and biologicals used in the facility were labeled and stored in accordance with currently accepted professional principles in 3 of 6 medication carts reviewed, and the medications were not left unattended in the resident rooms. Findings include: During an observation of Medication Cart #1 on 9/6/2022 at 9:06 AM with Staff E, Licensed Practical Nurse (LPN), there were one opened [MEDICATION(S)] insulin pen with no opened or expiration dates, and one unopened [MEDICATION(S)] insulin pen with the pharmacy instructions to refrigerate until opened. […]

• No harm, potential for more than minimal, patternF880Sep 9, 2022

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program to prevent the possible development and transmission of communicable diseases and infections. The facility failed to ensure staff performed hand hygiene and cleaned the needleless connectors of midline catheters during medication administration in 7 of 9 observations of medication administration. Findings include: 1. During an observation of medication administration on 9/7/2022 at 7:50 AM, Staff G, Licensed Practical Nurse (LPN), did not perform hand hygiene, unlocked the medication cart, poured medications for Resident #93, entered the resident's room, and administered the resident's medications. […]