Villa Valencia Healthcare Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Medical record review for Resident 344 was initiated on 5/13/25. Resident 344 was admitted to the facility on [DATE]. Review of Resident 344's Order Summary Report showed the following physician's orders dated 5/3/25: - To check the right upper arm midline site every shift; - To perform dressing change of PICC line site every day shift every seven days and record external catheter measurement in every dressing change; and - To perform dressing change of PICC line site as needed and record external catheter measurement in every dressing change Review of Resident 344's plan of care showed the following: - A care plan problem dated 5/5/25, to address Resident 344's IV therapy related to poor oral intake and high risk for infection on the right upper arm midline IV site. The interventions included observing IV site for redness, tenderness, swelling, puffiness, infiltration, and occlusion. Review of Resident 344's IV record for May 2025 showed the dressing change and external catheter measurement of PICC line site…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 3. Medical Record review for Resident 26 was initiated on 5/13/25. Resident 26 was admitted to the facility on [DATE]. On 5/13/25 at 0830 hours, Resident 26 was observed to have a nebulizer mask and tubing stored inside the bedside table drawer, touching the base of the drawer, and not bagged. Resident 26 stated she received a breathing treatment via nebulizer two times a day. On 5/13/25 at 0945 hours, an observation for Resident 26 and concurrent interview was conducted with RN 2. Resident 26's nebulizer tubing and mask were found to be unbagged and undated. RN 2 stated the nebulizer should be properly bagged and dated. RN 2 verified the findings. Based on observation, interview, medical record review, and facility P&P review, the facility failed to provide the necessary respiratory care services for two of two final sampled residents (Residents 26 and 344) and one nonsampled resident (Resident 21) reviewed for respiratory care services * The facility failed to ensure Resident 21's CPAP mask was stored properly…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and facility document review, the facility failed to ensure the competency of one of two licensed nurses (LVN 2) observed in performing a calibration of a medical equipment . LVN 2 was unable to demonstrate competency in the calibration of a glucometer. This failure had the potential of not providing care to the residents in a safe and competent manner. Findings: Review of the glucometer manufacturer's information sheet titled Assure Platinum Blood Glucose Monitoring System Quality Assurance/ Quality Control Reference Manual (undated) under the Quality Checks section showed the following: - To perform a control solution test, before testing with the Assure Platinum System for the first time, when a new bottle of test strips was opened, whenever meter or test strips may not be functioning properly, if the test test results appear to be abnormally high or low, or are not consistent, when the test strip bottle has been left open or exposed to temperatures below 39 degrees F or above 86 degrees F, or humidity levels above 8%, to check technique, when the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, medical record review, and professional standards literature review, the facility failed to ensure one of three sampled residents (Resident 5) was free of significant medication errors as evidenced by: * RN 4 administered Resident 5's ciprofloxacin (antibiotic) eye drop into the wrong eye. This failure had the potential for poor health outcome for this resident. Findings: According to Kozier & Erb's Fundamentals of Nursing textbook, when preparing eye medications for the residents, the MAR is checked to verify which eye is to be treated. On 5/14/25 at 0845 hours, a medication pass observation for Resident 5 was conducted with RN 4. RN 4 was observed preparing medications for Resident 5. The medications prepared included ciprofloxacin 0.3% (antibiotic)eye drop solution. The label on Resident 5's ciprofloxacin showed the eye drop was to be administered to Resident 5's left eye for Resident 5's left eye infection. RN 4 was then observed administering an eye drop to Resident 5's right eye. During the concurrent observation and review of Resident 5's May…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Review of the facility's P&P titled Medication Storage in the Facility, ID 1: Storage of Medication dated 4/2008 showed medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized. The provider pharmacy dispenses medications in containers that meet legal requirements, including standards set forth by the United States Pharmacopeia (USP). Medications are kept in these containers. Transfer of medication from one container to another is done only by pharmacy. Medical record review for Resident 31 was initiated on 5/13/25. Resident 31 was admitted to the facility on [DATE]. Review of Resident 31's Order Summary Report dated 4/30/25, showed the physician's orders dated 4/2/25, to administer the following medications: - Mithochondria nutrition PQQ one capsule oral two times a day for supplement - Neuroprotext Px…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, medical record review, facility P&P review, and facility document review, the facility failed to conduct a regular bed inspection as part of a regular maintenance program to identify areas of possible entrapment for two of two final sampled residents (Residents 17 and 344). This failure had the potential to negatively impact the residents resulting in possible entrapment, serious injury, and death. Findings: 1. According to the Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment, the term entrapment describes an event in which a patient/resident is caught, trapped, or entangled in the space in or about the bed rail, mattress, or hospital bed frame. Patient entrapments may result in deaths and serious injuries. These entrapment events have occurred in openings within the bed rails, between the bed rails and mattresses, under bed rails, between split rails, and between the bed rails and head or foot boards. The population most vulnerable to entrapment are…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, facility document review, and facility P&P review, the facility failed to maintain an effective pest control program to prevent the presence of flies in the kitchen. This failure had the potential to lead to food borne illnesses (illness caused by food contaminated with bacteria, viruses, parasites or toxins) for the facility residents who consumed food prepared in the kitchen. Findings: Review of the Diet Order Tally Report dated 5/14/25, showed 53 of 54 residents consumed food prepared in the kitchen. According to the USDA Food Code 2022, 6-501.111, Controlling Pests, insects and other pests are capable of transmitting disease to humans by contaminating food and food-contact surfaces. Effective measures must be taken to eliminate their presence in food establishments. Review of the facility's P&P titled Pest Control revised 5/2008 showed the facility maintains an ongoing pest control program to ensure that the building is kept free of insects and rodents. Review of the facility's document titled Orkin Service Report dated 4/1/25, showed the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and facility P&P review, the facility failed to ensure the sanitary requirements were met in the kitchen as evidenced by: * The facility failed to ensure the use of hair and beard restraints was implemented by the dietary staff member working in the kitchen. This failure posed the risk to cause foodborne illnesses in a medically vulnerable resident population who consumed food prepared from the kitchen. Findings: According to the USDA Food Code 2022, Section 2-402 Hair Restraints, food employees shall wear hair restraints such as hats, hair coverings or nets, beard restraints, and clothing that covers body hair, that are designed and worn to effectively keep their hair from contacting exposed food; clean equipment, utensils, and linens; and unwrapped single service and single use articles. Review of the facility's P&P titled Dress Code for Women and Men dated 2018 showed the kitchen staff must wear a hair covering in the kitchen. The P&P also showed the kitchen staff member with beards and mustaches (any facial hair) must wear beard restraint. On…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview, record review, and facility policy review, the facility failed to submit a level I preadmission screening and resident review (PASARR) for a resident that resided in the facility greater than 30 days for 2 (Resident #3 and Resident #107) of 2 sampled residents reviewed for PASARR services. Findings included: A facility policy titled, admission Criteria, revised 03/2019, revealed, 9. All new admissions and readmissions are screened for mental disorders (MD), intellectual disabilities (ID) or related disorders (RD) per the Medicaid Pre-admission Screening and Resident Review (PASARR) process. a. The facility conducts a Level I PASARR screen for all potential admissions, regardless of payer source to determine if the individual meets the criteria for a MD, ID, or RD. 1. An admission Record indicated the facility admitted Resident #3 on 05/05/2024. According to the admission Record, the resident had a medical history that included diagnoses of bipolar disorder and major depressive disorder. An admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD)…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview, record review, and facility policy review, the facility failed to ensure a resident was monitored for psychotropic medication use and an order for a PRN (pro re nata, as needed) psychotropic medication was limited to 14 days for 1 (Resident #102) of 5 sampled resident reviewed for unnecessary medications. Findings included: A facility policy titled, Psychotropic Medication Use, dated 07/2022, revealed, a. PRN orders for psychotropics medications are limited to 14 days. The policy specified, 13. Residents receiving psychotropic medications are monitored for adverse consequences, including: a. anticholinergic effects-flushing, blurred vision, dry mouth, altered mental status, difficulty urinating, falls, excessive sedation and constipation: b. cardiovascular effects-irregular heart rate or pulse, palpitations, lightheadedness, shortness of breath, diaphoresis, chest/arm pain, increased blood pressure, orthostatic hypotension: c. metabolic effects- increased cholesterol and triglycerides, poorly controlled or unstable blood sugar, weight gain: d. neurologic…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, medical record review, facility document review, and facility P&P review, the facility failed to conduct the status post change of condition assessments for one of five sampled residents (Resident 1). * Resident 1 had a change of condition involving an episode of hypotension (low blood pressure) of 77/49 mmHg. The facility failed to follow up with the physician regarding the change of condition and failed to conduct an assessment related to the resident's change of condition prior Resident 1's emergent transfer to the acute care hospital. These failures posed the risk for changes in Resident 1's medical condition not being identified, potentially delaying necessary care and treatment, which posed the risk for negative health outcomes to the resident. Findings: Review of the National Heart, Lung, and Blood Institute's health topic titled Low Blood Pressure dated 2022 showed low blood pressure occurs when blood flows through your blood vessels at lower than normal pressures. For most adults, a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Intakes: CA00862761 Based on interview and medical record review, the facility failed to provide the necessary care and services for one of two sampled residents (Residents 1) to maintain their highest physical well-being. * The facility failed to follow the physician's order to arrangefor cardiology and neurology consults for Resident 1. * Resident 1 was on multiple diuretic medications for CHF resulting in severe weight loss. The facility failed to notify the physician and ensure the interventions to manage Resident 1's significant weight loss in a timely manner. These failures had the potential to not provide the necessary care and services to meet the care needs for Resident 1. Findings: 1. Review of the facility's P&P titled Weight Monitoring and Management revised 1/2019 showed the resident who weighs less than 100 pounds and with identified weight change of three pounds in a week, or any resident who weighs 100 pounds or more and with weight change of five pounds in a week will be evaluated by the Weight…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and facility document review, the facility failed to ensure a qualified individual was responsible to oversee the day-to-day food service operations when: * The food service supervisor did not possess the qualifications necessary to oversee the day-to-day food service operations, and * The RD did not provide oversight of the food service operations. These failures had the potential for risk of food borne illness and compromising nutritional status in all 48 residents that received food prepared in the kitchen. Findings: Review of the facility's CMS 672 Resident Census and Conditions of residents completed by the facility dated 11/9/22, showed 48 of 48 residents in the facility received food prepared in the kitchen. 1. On 11/8/22 at 0928 hours, an interview was conducted with the DSS. The DSS stated he had been employed by the facility for one year and was currently in school to become a Dietary Services Supervisor. The DSS further stated the RD was employed full time. On 11/8/22 at 1143 hours, an interview was conducted with the RD. The RD stated she was a part…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, facility P&P, and facility document review, the facility failed to ensure the food safety and sanitation requirements were met in the kitchen as evidenced by the following: * The facility failed to ensure the mechanically altered chicken prepared for the lunch meal service was served with an internal food temperature of equal to or more than 165 degrees Fahrenheit . * The facility failed to ensure the TCS (time/temperature control for safety foods - foods that require time and temperature controls to limit the growth of illness causing bacteria) were not cooled properly. * The facility failed to ensure the kitchen staff wore gloves when handling the residents' food. * The facility failed to ensure the thawing of frozen foods in the main kitchen walk-in refrigerator were covered, labeled, and dated. * The facility failed to ensure the proper storage procedures for frozen foods in the main kitchen walk-in freezer were followed. * The facility failed to ensure the expired foods were…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and medical record review, the facility failed to treat one of 12 final sampled residents (Resident 258) with dignity and respect when her wish to not be touched by a male staff was not followed. This failure had the potential to result in emotional distress to the resident. Findings: Medical record review for Resident 258 was initiated on 11/8/22. Resident 258 was admitted to the facility on [DATE]. On 11/8/22 at 0920 hours, an interview was conducted with Resident 258. Resident 258 stated in the evening of her admission to the facility, a male staff entered her room and tried to touch her. However, she told the male staff to not touch her. The male staff insisted on touching her because it was his job. On 11/20/22 at 1413 hours, a telephone interview was conducted with CNA 1. CNA 1 stated he was assigned to Resident 258 when the resident was admitted to the facility. CNA 1 stated he went in the room to reposition Resident 258; however, she started screaming and stated she did…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, medical record review, and facility P&P review, the facility failed to determine whether the residents wished to formulate the advance directives and failed to obtain and maintain a copy of the advance directives for three of 12 final sampled residents (Resident 7, Resident 45, & Resident 56). * The facility failed to determine whether Residents 7 and 56 wished to formulate the advance directives. * The facility failed to obtain a copy of the advance directives for inclusion in the medical record for Resident 45. These failures had the potential for the residents' decisions regarding the health care and treatment options not being honored. Findings: Review of the facility's P&P titled Advance Directives revised 11/10/22, showed upon admission, the resident will be provided with written information concerning the right to refuse or accept medical or surgical treatment and to formulate an advance directive if he or she chooses to do so. If the resident is incapacitated and unable to receive…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, medical record review, and facility P&P review, the facility failed to ensure the physician's order for oxygen treatment for one of 12 final sampled residents (Residents 7) included the dose of oxygen to be administered to the resident as per the facility's P&P. This failure posed the risk for Resident 7 to experience respiratory complications. Findings: Review of the facility's P&P titled Medications Orders dated January 2022 under the section Policy Interpretation and Implementation, Elements of the Medication Order showed the medication orders should specify the name of medication; and dose and dosage form On 11/8/22 at 0928 hours, Resident 7 was observed receiving 2.5 liters per minute of oxygen. Medical record review for Resident 7 was initiated on 11/8/22. Resident 7 was admitted to the facility on [DATE]. Review of Resident 7's Order Audit Report showed a physician's order dated 9/17/22, to administer oxygen for supplementation to keep oxygen saturation above 92% call physician if…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, facility P&P review, and facility document review, the facility failed to ensure one of four cooks (Cook 1) had the appropriate skill set to safely perform the daily operations of the Food Service Department as evidenced by: * [NAME] 1 failed to wear gloves when handling food in the kitchen. * [NAME] 1 failed to ensure the utensils used during the food preparation were air dried prior to them being used. These failures had the potential for unsafe food practices which may lead to food borne illness in a highly susceptible population of 46 residents who received food from the kitchen. Findings: Review of the CMS 672 completed by the facility dated 11/9/22, showed 46 of 46 residents residing in the facility received food prepared in the kitchen. 1. Review of the facility's P&P titled Preventing Foodborne Illnesses - Employee Hygiene and Sanitary Practices dated October 2017, under the policy interpretation and implementation section showed the contact between food and bare (ungloved) hands is prohibited. During the initial tour of the facility's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and facility document and P&P review, the facility failed to ensure a menu system approved by the RD was implemented when: 1. The diet spreadsheet (a document which referenced portion sizes and therapeutic diet extensions) and a corresponding nutritional analysis (a breakdown of macro and micronutrients provided by the diet) were not implemented and had not been reviewed and approved by the RD. 2. Puree recipes were not developed and followed for the current menu being used. These failures posed the risk of resident nutritional needs not being met which in turn could lead to compromised nutritional status including weight loss, skin breakdown and dehydration. Findings: Review of the CMS 672 form completed by the facility dated 11/9/22, showed 48 of 48 residents residing in the facility received food prepared in the kitchen. 1. Review of the facility's P&P undated titled Menu and Portion Adherence showed All portion sizes, (scoop size), should strictly match the menu spread sheet…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, medical record review, and facility document review, the facility failed to ensure resident's food preference was followed for one of 12 final sampled residents (Resident 38). This failure had the potential to negatively impact the resident's well-being. Findings: Review of the facility's weekly menu titled SNC Week 2 (11/7/22 to 11/13/22) showed on 11/8/22, residents were served pulled pork sandwich. On 11/8/22 at 1210 hours, an observation of lunch service was conducted. Resident 38 was served her lunch tray which consisted of a pulled pork sandwich. Resident 38 started eating the pulled pork sandwich. Review of Resident 38's lunch meal ticket dated 11/8/22, showed Resident 38 disliked pork. On 11/8/22 at 1212 hours, an observation and concurrent interview was conducted with the DSD. When asked what Resident 38 was eating, the DSD confirmed Resident 38 was served a pulled pork sandwich. However, the DSD verified Resident 38's meal ticket dated 11/8/22 showed Resident 38 disliked pork. The DSD acknowledged Resident 38 should not be served a pulled…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, facility P&P review, and facility document review, the facility failed to ensure the policy regarding outside food brought for residents by the family or visitors was followed. This failure posed the risk for potential unsafe food handling practices. Findings: Review of the facility's P&P titled Foods Brought by Family/Visitors revised on October 2017 showed in part, .all personnel involved in preparing, handling, serving, or assisting the resident with meals or snacks will be trained in safe food handling practices .7b. Containers will be labeled with the resident's name. the item, and the use by date. Further review of the policy showed no documentation regarding how long the food should be kept in the refrigerator. On 11/10/22 at 0852 hours, an interview was conducted with LVN 3. LVN 3 stated the food items brought into the facility for a resident had to be checked first to ensure it was compatible with the resident's diet. LVN 3 stated the residents' food items were to be stored in a refrigerator located in the Dining Room and should be kept for…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.