Vivo Healthcare Normandy

Based on kitchen food service observations, staff interviews, and a review of facility policies and procedures, the facility failed to follow proper food safety sanitation standards and food handling practices to prevent potential injury and the potential outbreak of foodborne illness to residents by failing to serve meals using dinnerware in clean and good condition. Food handling and sanitation are important in health care settings serving nursing home residents. Unsafe food handling practices represent a potential source of pathogen exposure that can compromise residents' well-being. This failure had the potential to affect all residents who consumed food from the facility's kitchen. The findings include: A follow-up tour of the kitchen was conducted on 12/16/2025 at 11:00 a.m. Cracked plates and plates with food debris stuck on them were observed and pulled from the tray line. (Photographic Evidence Obtained) On 12/18/2025 at 9:00 a.m., an interview was conducted with [NAME] V. She was asked who was responsible for ensuring dinnerware and utensils were clean and in good…

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 interviews, record review, and a review of facility policies and procedures, the facility failed to ensure food served was prepared by methods that conserved nutritive value and appearance by failing to follow standardized recipes to provide appetizing and appealing food in accordance with professional standards for food service. Residents at nutritional and hydration risk could be affected, potentially impacting their ability to heal, and possibly resulting in an overall health status decline. The findings include: During a follow-up tour of the kitchen on 12/16/2025 at 11:00 a.m., Employee V was observed as the cook on the tray line. During an observation of the tray line at this time, pureed meal components of savory based chicken, fluffy rice, seasoned spinach, and a white roll were observed smeared on the plate with no shape or consistent form. (Photographic Evidence Obtained) On 12/18/2025 at 9:00 a.m., an interview was conducted with [NAME] V. She was asked who was responsible for preparing pureed food. She replied, The Cook. When asked what was used to show cooks…

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 observations, interviews and record review, the facility failed to update comprehensive care plans to accurately reflect residents' current status related to intravenous access (Resident #30), skin condition (Resident #60), and Life Vest (Resident #139) for three of 22 residents reviewed for care plan development, implementation and revision. The findings include:1. During an observation on 12/16/2025 at 10:15 a.m., Resident #30 was observed with a Peripherally Inserted Central Catheter (PICC) line to his right upper inner arm. The area was observed to be clean and dry with a dressing dated 12/16/2025. During an interview on 12/16/2025 at 10:15 a.m., Resident #30 stated, They just changed the dressing this morning. I think I've got until 12/24/2025 for my last dose [of intravenous antibiotics]. During an observation on 12/18/2025 at 8:00 a.m., Resident #30 was observed with a PICC line to his right upper inner arm. During an interview on 12/18/2025 at 9:30 a.m., Licensed Practical Nurse (LPN) E stated,…

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 observations, interviews, record reviews and a review of facility policies and procedures, the facility failed to ensure adequate grooming for one resident (#116) who was unable to carry out activities of daily living (ADLs) independently, out of four residents reviewed for ADLs, from a total survey sample of 39 residents. Failure to provide assistance with ADLs can result in resident discomfort and negatively impact a resident's feelings of self-worth. The findings include: A review of the medical record revealed that Resident #116 was admitted to the facility on [DATE] with diagnoses including a need for assistance with personal care, Myasthenia Gravis without (acute) exacerbation, Encephalopathy and Seizures. On 12/15/2025 at 11:10 a.m., Resident #116 was observed in bed with excessively long hair on his face. He was asked if he was able to shave himself or if the staff shaved him. He stated, The staff shaves me. He was asked when the last time was that he recalled being shaved. He replied, a couple…

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 observations, interviews and record review, the facility failed to provide residents treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for one (Resident #11) of two residents reviewed for wound care and for one (Resident #129) of one resident reviewed for positioning/mobility, from a total survey sample of 39 residents.The findings include: 1.On 12/16/2025 at 11:00 a.m., Resident #11 was observed with a dressing to his right lower leg dated 12/10/2025. (Photographic Evidence Obtained) On 12/17/2025 at 12:20 p.m., Resident #11 was observed with a dressing to his right lower leg dated 12/10/2025. (Photographic Evidence Obtained) On 12/18/2025 at 8:10 a.m., Resident #11 was observed with a dressing to his right lower leg dated 12/10/2025. (Photographic Evidence Obtained) During an interview on 12/18/2025 at 8:10 a.m., Resident #11 stated, I banged my leg in therapy. I can't remember when they changed it (the dressing). During an…

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, interviews and record review, the facility failed to ensure that a resident with a pressure ulcer received necessary treatment and services, consistent with professional standards of practice, to promote healing and prevent infection for one (Resident #99) of one resident reviewed for pressure ulcer care and treatment.The findings include:During an observation on 12/18/2025 at 9:30 a.m., Registered Nurse (RN) D/Wound Care Nurse, prepared to change the ordered dressing to Resident #99's sacral pressure wound. Resident #99 positioned herself on her left side in preparation for the dressing change. Upon positioning with the sacral and gluteal area exposed, it was observed that there was a dark brown substance present, beginning at the top of the gluteal cleft and extending down to the bottom of the cleft. There was a fecal odor present. RN D cleaned the wound using wound cleanser, placed a new treatment and dressing over the sacral wound, refastened the resident's brief, and instructed her to…

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 interviews and record review, the facility failed to appropriately document the correct location of the Peripherally Inserted Central Catheter (PICC) line in five of 14 daily chart notes for one (Resident #30) of eight residents reviewed for required resident record components, from a total survey sample of 39 residents.The findings include:During an observation on 12/16/2025 at 10:15 a.m., Resident #30 was observed with a Peripherally Inserted Central Catheter (PICC) line to his upper inner right arm. The area was observed to be clean and dry with a dressing dated 12/16/2025.During an interview on 12/16/2025 at 10:15 a.m., Resident #30 stated, They just changed the dressing this morning. I think I've got until 12/24/2025 for my last dose [of intravenous antibiotics].During an observation on 12/18/2025 at 8:00 a.m., Resident #30 was observed with a PICC line to his right upper inner arm. During an interview on 12/18/2025 at 9:30 a.m., Licensed Practical Nurse (LPN) E stated, His [Resident #30] PICC line…

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 facility observations, interviews, and a review of facility policies and procedures, the facility failed to provide a safe, sanitary, and comfortable homelike environment for residents, by failing to ensure separate rooms for resident showers and equipment storage for the 32 residents residing on the 100 hallways, from a total facility census of 110 residents. This had the potential to put residents at risk for infection, compromised dignity and privacy, and physical harm. The findings include: On 12/16/2025 at 9:44 a.m., a storage sign was observed on the 100 hallways' resident shower room door. When the door was opened, mechanical lifts were observed stored in the room. (Photographic Evidence Obtained) On 12/17/2025 at 10:34 a.m., Certified Nursing Assistant (CNA) S was asked why the storage sign was posted on the 100 hallways' shower room door. She stated she did not know why it was on the door, as this was a shower room. On 12/17/2025 at 10:35 a.m., the same storage sign was posted on the 100 hallways' resident shower room door, the shower room that was being used 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.

Based on the kitchen food service observations, nourishment room 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 of the residents in the facility when the walk-in cooler, a reach-in cooler, juice dispensing equipment and nourishment rooms were not regularly cleaned, and the floors were not maintained. Dietary staff also failed to implement the proper procedures for hand hygiene, disposable glove use and proper sanitation practices by failing to change contaminated gloves and wash their hands between glove changes during the lunch meal service. Hand hygiene, food handling and sanitation is important in health care settings serving nursing home residents due to the risk of serious complications from foodborne illness as a result of their compromised health status. Unsafe food handling practices represent a potential source of pathogen exposure. The findings include: During 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain a safe, clean, comfortable, and homelike environment, and provide maintenance services as necessary for residents in five (Rooms 106, 202, 402, 407 and 204) of six rooms identified with environmental concerns from a total of 62 resident rooms. The findings include: On 01/31/22 at 12:40 PM, room [ROOM NUMBER] was observed with a clogged bathroom sink that was not draining. On 01/31/22 at 11:02 AM, while touring with the Maintenance Director, three roaches were observed in room [ROOM NUMBER]'s bathroom sink. The Maintenance Director removed them with a paper towel. He stated pest control was on-site once a month and any time pests were sighted in the facility. He added that pest control would be contacted again. He also confirmed that the sink was clogged and stated he would fix it. On 02/01/22 at 11:24 AM, Resident #391 in room [ROOM NUMBER] stated the phone at his bedside was broken and so was the phone for the adjacent bed. He…

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, resident interview, staff interview, clinical record review and facility policy and procedure review, the facility failed to 1) Implement the comprehensive person-centered care plan for one (Resident #145) when the physician-ordered, pressure-reducing foam boots for her heels were not applied, and 2) Implement the comprehensive person-centered care plan for two (Residents #26 and #29) when oxygen flow rates were not set at the physician-ordered liters per minute. Seven residents were being treated for pressure ulcers and 10 residents were receiving respiratory therapy from a total of 30 sampled residents. Failure to implement the care plan puts the resident at risk of not receiving appropriate interventions and could potentiate medical or physical complications and/or injury. The findings include: 1. During an interview with Resident #145 on 01/31/2022 at 2:00 PM, she was observed lying in bed with her covers on. She was lying on her right side. She stated she had a pressure ulcer on her…

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, staff interviews and a review of the facility's Policy and Procedure for Nail Care, the facility failed to provide nail care for one (Resident #65) of 30 sampled residents who was dependent for activities of daily living. The findings include: An observation was conducted of Resident #65 on 02/01/22 at 10:02 a.m. She was lying in her bed and the thumb nail on her left hand was curling under with all nails approximately one and half inches or longer. The left hand was kept closed and the nails were close to digging into the palm of her hand. The resident could open her right hand, but her nails were one and half inches or longer. Resident #65 was confused but could answer simple questions. She replied yes when asked if she felt her nails needed to be cut. She also replied yes when asked if staff could cut them. Observations was conducted of Resident #65 on 02/02/22 at 10:11 a.m. and on 02/03/22 at 10:08 a.m. Her nails remained the same. A medical record review was conducted on 02/01/22, which noted an admission date of 05/29/12 with diagnoses including adult…

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 observations, interviews and record reviews, the facility failed to ensure that a resident who needed respiratory care, was provided such care, consistent with professional standards of practice and the comprehensive person-centered care plan for three (Residents #26, #29 and #391) of 10 residents receiving respiratory therapy from a total of 30 sampled residents. The findings include: 1. On 02/01/2022 at 11:08 AM, Resident #26 was observed sitting up in bed in her room. Her oxygen (O2) flow rate was set at 2.5 liters per minute (LPM). The resident was asked what the O2 flow rate should be set at, and she replied that she didn't know. On 02/02/2022 at 2:16 PM, Resident #26 was observed sitting up in a wheelchair in her room. Her O2 flow rate was set at 2 LPM. On 02/02/2022 at 2:44 PM, Licensed Practical Nurse (LPN) J confirmed the order for Resident #26's O2 flow rate was 3 LPM via nasal cannula. He stated the 11 PM - 7 AM shift nursing staff was responsible for changing the O2 tubing. He also reported…

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, staff interview, clinical record review, facility document review and facility policy and procedure review, the facility failed to ensure a member of the Interdisciplinary Team was designated to coordinate the hospice care and obtain a plan of care and physician's certification form from the hospice provider before hospice care was furnished to one (Resident #143) of two residents receiving hospice care, from a total of 30 residents in the sample. The findings include: Resident #143 was observed on 01/31/2022 at 1:32 PM lying in her bed. The hospice provider's Advanced Practice Registered Nurse (APRN) was in the room with her. She was calling out in pain, Too much pain, too much pain. Please take the pain away. It's too much, it's too much. During an interview with the hospice provider's APRN on 01/31/2022 at 1:45 PM, he stated he was in the facility seeing Resident #143 today for the first time. He did not know her well yet. He was aware that she was in a lot of pain and was adjusting her…

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.