Vista Care Center of Milan

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 17, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff interviews, review of the facility investigation, review of law enforcement reports, review of fire department reports, review of body camera footage, law enforcement interviews, and review of policy for the secure unit, the facility failed to provide adequate supervision to ensure a resident at risk for elopement and residing on a secured unit did not elope from the facility. […]

• Actual harm, isolatedF697Oct 17, 2024

  Based on medical record review, staff interview, resident interview, review of Controlled Drug Receipt/Record/Disposition Form, and policy review, the facility failed to ensure medications to relieve pain were obtained in a timely manner for administration. This resulted in Actual Harm to Resident #05 when her physician-ordered supply of a narcotic analgesic, Oxycodone, was exhausted on 09/14/24 at 4:00 A.M. and the facility did not timely obtain a new written prescription from the ordering provider. […]

• No harm, potential for more than minimal, widespreadF803Oct 17, 2024

  Based on observation, resident and staff interview, review of the menu and review of the dietary spreadsheet, the facility failed to ensure food was served per the facility menu and spreadsheet. This had the potential to affect all 86 residents residing in the facility who received food from the facility. The facility census was 86. Findings include: Interview on 10/01/24 at 4:55 P.M. with Resident #63 revealed the resident thought meal portion sizes were too small. Review of the weekly menu revealed the regular meal for breakfast on 10/07/24 was choice of cereal, cheese omelet, toast, jelly, and margarine. Review of the menu spreadsheet for breakfast on 10/07/24 revealed residents would receive two slices of toast. […]

• No harm, potential for more than minimal, widespreadF812Oct 17, 2024

  Based on observation, and staff interview, the facility failed to ensure safe and sanitary storage of food items in the kitchen. This affected all 86 residents residing in the facility. The facility census was 86. Findings include: Observation on [DATE] beginning at approximately 7:35 A.M. of the facility refrigerator and walk-in cooler revealed the following items: a container of undated and unlabeled sliced cheese, a container of undated and unlabeled baked beans, two undated and unlabeled cups containing a brown substance, one box containing tortilla shells which expired on [DATE], one box of puff pastry sheets which expired on [DATE], one box of burritos which was delivered in [DATE] and one box of tuna with an expiration date of [DATE]. […]

• No harm, potential for more than minimal, widespreadF880Oct 17, 2024

  Based on observation, staff and resident interview, medical record review, review of facility policy, review of infection control logs and review of glucometer manufacturer instructions, the facility failed to ensure residents with communicable diseases were appropriately isolated and failed to ensure proper personal protective equipment (PPE) was utilized for residents in transmission-based precautions (TBP). This affected two residents (#09 and #14) of two residents reviewed for TBP. Additionally, the facility failed to ensure proper disinfection of shared glucometers. This affected one resident (#04) of one resident reviewed for glucometer use. The facility identified 24 residents with glucometer checks. […]