Williamsburg Village Healthcare Campus

In the surveyor’s words

From the most serious findings on record at Williamsburg Village Healthcare Campus, in the surveyor’s own words.

• Immediate jeopardy, patternF880Jan 12, 2023

  Based on observation, interview, and record review the facility failed to maintain an infection prevention and control program to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of COVID-19 for 1 of 2 (Resident # 2) residents and 3 of 5 (CNA B, CNA C, and Med Aide D) staff reviewed for infection control. The facility failed to ensure CNA B, CNA C, and Med Aide D were wearing appropriate PPE and following infection control practices during care of residents positive with COVID-19. The staff subsequently entered rooms of residents who were negative for COVID-19 and did not perform hand hygiene during meal service. An Immediate Jeopardy (IJ) was identified on 12/21/22 at 12:03 PM. […]

• Immediate jeopardy, patternF686May 14, 2022

  Based on observation, interview and record review the facility failed to ensure a resident with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 2 of 6 residents (Resident #1 and Resident #2) reviewed for pressure ulcers/wounds. The facility failed to ensure Resident #1's wound treatments and wound assessments was completed daily to prevent the worsening of her pressure ulcer on her sacrum. […]

• Immediate jeopardy, isolatedF689Apr 27, 2026

  Based on observation, interview, and record review, the facility failed to ensure that each resident received adequate supervision to prevent avoidable accidents for one (Resident #1) of eleven residents reviewed for supervision. The facility failed to ensure Resident #1, who resided on the facility's secured unit, received adequate supervision to prevent him from eloping on two separate occasions. On 04/20/26, Resident #1 eloped from the facility at 2:00 a.m. and was found 2.5 hours later by law enforcement approximately 2 miles away from the facility. On 04/24/26, Resident #1 eloped from the facility at 1:30 a.m. and was found on 04/27/26 at a local hospital where he was being treated for chest pain. An Immediate Jeopardy (IJ) was identified on 04/24/26 at 12:02 p.m. […]

• Immediate jeopardy, isolatedF580Mar 26, 2026

  Based on observations, interviews and record reviews, the facility failed to immediately consult with the resident's physician; and notify, consistent with his or her authority, the resident representative when there was an accident involving the resident which resulted in injury and had the potential for requiring physician intervention for 1 of 5 residents (Resident #1) reviewed for change in condition. LVN L failed to immediately consult with Resident #1's physician and failed to notify the resident's family when Resident #1 fell hard against a rail in the hallway hitting his face/head and torso, which resulted in immediate bleeding to the resident's cheek on 03/22/26 at 7:30 AM. […]

• Immediate jeopardy, isolatedF684Mar 26, 2026

  Based on observation, interview and record review, the facility failed to ensure the residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 1 of 8 residents (Resident #1) reviewed for quality of care. LVN L failed to complete an immediate, comprehensive post-fall assessment to include neurological checks after Resident #1 had a fall when the resident swung hard towards LVN L in an attempt to hit him on 03/22/2026 at 7:30 AM, which resulted in the resident losing his balance and hitting his face/head and torso against a rail in the hallway. […]