Vineyard Care Center

In the surveyor’s words

From the most serious findings on record at Vineyard Care Center, in the surveyor’s own words.

• Actual harm, patternF692Jul 19, 2021

  Based on observation, interview, and record review, the facility failed to implement a comprehensive systemic approach, to ensure effective monitoring and systems to maintain acceptable parameters of nutritional status, when: 1. The facility failed to ensure a Registered Dietitian (RD) evaluated or reassessed Resident 31's nutritional status timely, in order to recommend nutritional interventions, after an unplanned severe and continuous weight loss of 23.9% (percent) over eight months. The facility failed to intervene timely when Resident 31's weight loss began despite documented meetings acknowledging weight loss. There was no evidence demonstrating recommended interventions were implemented from ,d+[DATE] to ,d+[DATE]. […]

• No harm, potential for more than minimal, widespreadF921Feb 24, 2025

  Based on observation, interview, and record review, the facility failed to provide a safe and sanitary environment when: 1. The housekeeping closet on Wing B was found to have brown/gray and white residue on the floor, 2. The walls were missing plastic baseboards exposing multiple layered hole near the base of the left wall. 3. A metal drain was found to have rust colored debris and uneven untiled surface, the front of the sink piping had peeling paint and brown colored staining. […]

• No harm, potential for more than minimal, widespreadF804Dec 15, 2023

  Based on observation, interview, and record review, the facility failed to ensure food was palatable and served at an acceptable temperature to the residents in accordance with the facility policy and procedure. This failure had the potential to affect meal and food intake which could impair the nutrition status for 45 of 45 residents who are served food from the kitchen. Findings: During the initial survey resident screening process on 12/12/23 at 9:53 a.m., multiple interviews with residents were conducted, and the residents had complaints of lack of food variety, food temperature and palatability concerns. […]

• No harm, potential for more than minimal, widespreadF801Jul 19, 2021

  Based on food services observations, staff interview and departmental document review the facility failed to ensure a Registered Dietitian and Dietetic Services Supervisor comprehensively evaluated the effectiveness of food service operations as evidenced by lapses in the delivery of services associated with meal distribution accuracy and nutritional value of menus (Cross Reference F803, F805, and F808 ), and food safety (Cross Reference F812). Failure to ensure food and nutrition services systems are accurately and effectively delivered may result in compromising the nutritional status of residents through the potential transmission of foodborne illness and incorrect plating of physician ordered therapeutic diets for the 52 residents at the facility. […]

• No harm, potential for more than minimal, widespreadF812Jul 19, 2021

  Based on observation, interview and facility document review, the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety when: 1. Time/Temperature Control for Safety (TCS) foods (food that requires time/temperature control for safety to limit the growth of pathogens (i.e., bacterial or [CONDITION(S)] organisms capable of causing a disease or toxin formation) were not properly monitored for cool down; 2. TCS foods were not properly labeled and expired items were in the refrigerator; 3. Cups for resident drinks were stored wet and stacked or wet with lids on; 4. A utensil storage drawer, cabinets, and walls were not clean; and 5. […]