Inspection Reports for
Residences at Vantage Point

5400 Vantage Point Rd, Columbia, MD 21044, MD, 21044

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Citations (last 3 years)

Citations (over 3 years) 6.3 citations/year

Citations are regulatory findings recorded during state inspections.

51% better than Maryland average
Maryland average: 12.8 citations/year

Citations per year

12 9 6 3 0
2018
2019
2024

Inspection Report

Complaint Investigation
Citations: 5 Date: Dec 13, 2024

Visit Reason
The inspection was conducted as a recertification and complaint survey to evaluate compliance with regulatory requirements and investigate specific complaints.

Complaint Details
The visit was complaint-related, triggered by concerns about privacy breaches, injury investigations, care planning, food safety, and infection control practices. Specific complaints included failure to protect resident information, inadequate injury investigation, missed care plan meetings, unsafe food handling, and poor infection control during medication administration.
Findings
The facility was found deficient in multiple areas including failure to maintain resident privacy, inadequate investigation of an injury of unknown origin, failure to hold quarterly care plan meetings, unsafe food handling and storage practices, malfunctioning dishwashing equipment with inadequate sanitization, and failure to follow infection control practices during medication administration.

Citations (5)
F 0583: The facility failed to ensure privacy of protected health information for 11 of 21 residents during the recertification/complaint survey, evidenced by an unlocked monitor displaying resident photos and medical record numbers.
F 0610: The facility failed to perform a thorough investigation for an injury of unknown origin involving Resident #220, with no investigation file available for the 11/28/23 incident resulting in a hematoma.
F 0657: The facility failed to hold care plan meetings at least quarterly for Resident #17, with no evidence of meetings after the initial admission meeting in June 2024.
F 0812: The facility failed to ensure food safety by improper food labeling, storage, temperature monitoring, and sanitation, including malfunctioning dishwashing equipment and inadequate chemical sanitizer concentration.
F 0880: The facility failed to follow infection control practices during medication administration, including failure to sanitize hands and improper disposal of used syringes.
Report Facts
Residents affected: 11 Residents affected: 3 Date of injury incident: Nov 28, 2023 Dishwasher chemical concentration: 25 Dishwasher wash temperature: 94.1 Dishwasher rinse temperature: 116.2 Dishwasher wash temperature: 100 Dishwasher rinse temperature: 117 Refrigerator temperature: 51 Refrigerator temperature: 46 Refrigerator temperature: 50

Employees mentioned
NameTitleContext
LPN #10Named in infection control deficiencies related to medication administration
Director of Nursing #8Director of NursingObserved and acknowledged privacy breach on monitor screen
Health Center Social Worker #9Social WorkerInterviewed regarding care plan meeting documentation
Dining Services Director #2Dining Services DirectorAcknowledged food safety and dishwasher concerns
Certified Dietary Manager #3Certified Dietary ManagerReported on food temperature monitoring and dishwasher chemical testing
Dietary Aide #13Dietary AideObserved food storage and labeling issues
Vendor Technician #15Vendor TechnicianReported on dishwasher chemical concentration testing and maintenance
Executive DirectorExecutive DirectorAcknowledged kitchen and dishwasher issues
Operations Director #17Operations DirectorAcknowledged ongoing water temperature control and booster issues
Chef #16ChefConducted dishwasher chemical test strip procedures
Health Center Supervisor #14Health Center SupervisorReported on plate warming system not working
Dishwashing Staff #7Dishwashing StaffDirected to clean dust and cover food area

Inspection Report

Annual Inspection
Citations: 11 Date: Dec 5, 2019

Visit Reason
The facility underwent an annual Medicare/Medicaid recertification survey to assess compliance with regulatory requirements and resident care standards.

Findings
The survey identified multiple deficiencies including failure to ensure appropriate equipment for resident dialysis transfer, inadequate investigation of a fracture of unknown origin, failure to notify residents or representatives in writing about transfers, incomplete resident assessments, deficient care plans, failure to post nurse staffing information prominently, and lack of required staff training on abuse prevention and dementia care.

Citations (11)
F 0558: The facility failed to ensure the appropriate equipment was used to transfer a resident for dialysis, resulting in a missed dialysis appointment.
F 0610: The facility failed to conduct a thorough investigation of a fracture of unknown origin sustained by a cognitively impaired resident.
F 0623: The facility failed to notify the resident and/or family representative in writing about transfer to hospital and the reason for the transfer.
F 0625: The facility failed to notify the resident or representative in writing about how long the nursing home will hold the resident's bed during hospital transfer.
F 0637: The facility failed to conduct a comprehensive assessment when a significant decline occurred in a resident's condition.
F 0642: The facility failed to complete the discharge Minimum Data Set (MDS) for a resident discharged to assisted living.
F 0656: The facility failed to develop and implement individualized care plans addressing the use of antidepressant and antianxiety medications for residents.
F 0657: The facility failed to update a resident's care plan to include non-compliance with treatment regimen related to dialysis refusal.
F 0732: The facility failed to prominently post nurse staffing information to ensure easy identification of staff to resident assignments.
F 0943: The facility failed to ensure all nursing staff received required abuse prevention and dementia management training.
F 0947: The facility failed to ensure nurse aides received 12 hours of annual training including abuse prevention and dementia management.
Report Facts
Residents reviewed for specific issues: 3 Nurses reviewed for training compliance: 4 Nurse aides reviewed for training compliance: 7

Inspection Report

Complaint Investigation
Citations: 3 Date: Jul 18, 2018

Visit Reason
The inspection was conducted as a complaint investigation to assess the facility's compliance with safety, food sanitation, and infection control standards based on reported concerns.

Complaint Details
The investigation was triggered by complaints regarding safety hazards, food sanitation, and infection control issues. The findings substantiated these concerns with minimal harm identified.
Findings
The facility failed to maintain an accident-free environment for Resident #10, did not store food under sanitary conditions in the kitchen, and failed to ensure a soap dispenser in Resident #16's bathroom was kept filled.

Citations (3)
F0689: The facility staff failed to ensure Resident #10's walker was kept out of the resident's reach, leading to a fall. The walker was observed alongside the resident's bed contrary to the plan of care.
F0812: The facility failed to store food under sanitary conditions as drain lines in the kitchen lacked air gaps, risking sewer water contamination.
F0880: The facility failed to ensure a soap dispenser in Resident #16's bathroom was kept filled, impairing hand hygiene practices.
Report Facts
Residents investigated: 11 Residents affected: 1

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