Vivo Healthcare University

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jul 17, 2026

  Based on interviews and record reviews, the facility failed to protect Resident #1's right to be free from neglect by Certified Nursing Assistant (CNA) A, by failing to implement sufficient safeguards and supervision to prevent Resident #1, one of four residents reviewed for Activities of Daily Living (ADL) care, from an avoidable fall with a subsequent left hip fracture. The facility failed to ensure that staff implemented care plan interventions specifying two-person assistance with bed mobility for Resident #1. On June 18, 2026, Resident #1's ADL care, including repositioning in bed/bed mobility, was provided by one Certified Nursing Assistant (CNA) rather than by two CNAs as indicated in the resident's care plan. […]

• Immediate jeopardy, isolatedF689Jul 17, 2026

  Based on interviews and record reviews, the facility failed to implement sufficient safeguards and supervision to prevent one (Resident #1) of four residents reviewed for Activities of Daily Living (ADL) care from an avoidable fall with a subsequent left hip fracture. The facility failed to ensure that staff implemented care plan interventions specifying two-person assistance with bed mobility for Resident #1. On June 18, 2026, Resident #1's ADL care, including bed mobility, was provided by one Certified Nursing Assistant (CNA) rather than by two CNAs as indicated in the resident's care plan. The resident fell out of bed during repositioning (rolling the resident to her side) and sustained a left hip fracture.Any resident requiring two-person staff assistance was at risk. […]

• No harm, potential for more than minimal, widespreadF812Nov 7, 2024

  Based on kitchen food service observations, staff interviews, facility document review, and facility policy and procedure review, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness with the potential to affect all residents who consumed foods from the facility's kitchen. The facility failed to 1) Date mark open packages of croutons and tea bags, 2) Clean grease build-up inside and around the door area of the convection oven, 3) Clean grease and food substances from the inside door area and oven floor, 4) Clean grease and food debris from the oven tray, 5) Clean food debris stuck on and around the safety guard of the mixer, 6) Clean food debris stuck on the meat slicer, 7) Clean one of two microwaves located in the east… […]

• No harm, potential for more than minimal, patternF583Sep 19, 2023

  Based on observations, interview, record review, and facility policy and procedure review, the facility failed to ensure the privacy and confidentiality of protected health information (PHI) for 15 of 15 residents receiving skilled therapy services, by posting a list of residents on the counter top of the East and [NAME] wing nurses' station, visible to other residents and guests. The findings include: On 09/19/2023 at 10:00 am, an observation of the nurse's station on the East Wing revealed a list of fifteen (15) resident names receiving therapy with their appointment times, wing, room, type, duration, and therapy provider taped down to the top of the counter. This information could be seen by residents and guests who were observed passing along the hallway. […]

• No harm, potential for more than minimal, patternF880Sep 19, 2023

  Based on observations, interviews, record review, and facility policy and procedure review, the facility failed to maintain and implement an infection prevention control program to provide a safe, sanitary and comfortable environment. The facility staff failed to ensure the proper use of protective equipment (PPE) in transmission base precaution (TBP)/COVID-19 isolation room for three (Residents #3, #7, and #6) of four sampled residents; and the facility failed to ensure all staff used proper hand hygiene in a TBP room/COVID-19 isolation room (rooms [ROOM NUMBERS]). […]