Vivian Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF578May 11, 2026

  Based on record review and an interview the facility failed to inform and provide written information to residents or resident's representative concerning the right to formulate an Advance Directive for 5 (#4, #5, #10, #36, and #53) of 5 residents reviewed for Advanced Directives. Findings: Review of facility's Advance Directive Policy with latest revision date of August 2023 revealed in part;Policy Statement: Advance Directives will be respected in accordance with state law and facility policy.Policy Interpretation and Implementation:Upon admission, the resident will be provided with written information concerning the right to refuse or accept medical treatment and to formulate an Advanced Directive if he or she chooses to do so.2. […]

• No harm, potential for more than minimal, patternF605May 11, 2026

  Based on record reviews and interviews, the facility failed to ensure 3 (#9, #13, and #53) of 5 residents reviewed for unnecessary medications were free from chemical restraints by failing to: ensure Resident #9's GDR recommendations were implemented andensure Residents' (#9, #13, and #53) orders for PRN psychotropic medications did not exceed 14 days without a rational. Findings: Review of the facility's Psychotropic/Psychoactive Medication Policy revised 01/2025 revealed in part: Policy StatementA psychotropic drug is any drug that affects brain activities associated with mental processes and behavior. These drugs include, but are not limited to, drugs in the following categories: (I) Antipsychotic; (II) Anti-depressant; (III) Anti-anxiety; and (IV) Hypnotic. […]

• No harm, potential for more than minimal, patternF628May 11, 2026

  Based on record reviews and interviews, the facility failed to: 1. Provide written notice to residents and/or their RP which specified the reason for transfer, effective date, location and statement of the resident's appeal rights and duration of the bed hold for 3 (#6, #10, and #56) of 3 residents reviewed for hospitalizations, and 2. Update the emergency transfer log (Notice of Discharge to the Ombudsman) for 2 (#6 and #10) of 3 residents reviewed for hospitalizations. Findings: Resident #6 Review of Resident #6's medical record revealed an admission date on 11/21/2025 and diagnoses including acute respiratory failure with hypoxia and dependence on renal dialysis. […]

• No harm, potential for more than minimal, patternF656Mar 19, 2025

  Based on record reviews, observations, and interviews the facility failed to ensure a plan of care had been developed for 4 (#13, #37, #50, #52) of 8 (#13, #18, #32, #37, #38, #50, #52, #168) residents reviewed for accidents. The facility failed to ensure a plan of care for side rail assist bars had been developed for Residents #13, #37, #50, and #52. Findings: Review of the facility's PSDs (Personal Safety Devices)-Enablers-Side Rails & Restraints policy with a revision date of February 2025 revealed in part, these devices require evaluation, resident and/or responsible party notification, an order, care planning, and routine monitoring for effectiveness and restraining effect. […]

• No harm, potential for more than minimal, patternF698Mar 19, 2025

  Based on record review, observation, and interviews, the facility failed to ensure that a resident who required dialysis received services consistent with professional standards of practice for 1 (#37) of 1 resident reviewed for dialysis by failing to assess Resident #37 upon return to the facility from dialysis treatment. Findings: Review of Resident #37's March 2025 physician orders revealed: 01/22/2025: Resident to receive dialysis 3 days a week on Monday-Wednesday-Friday at ____ dialysis center. 12/05/2025: Monitor AV (Arteriovenous) shunt pressure dressing to left arm for excessive bleeding every shift upon return from dialysis and remove dressing morning after dialysis. 12/05/2025: Monitor AV shunt site left arm for signs and symptoms infection q (every) shift. […]