Inspection Reports for
Village of the Falls
25920 ELM STREET, OLMSTED FALLS, OH, 44138
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Routine
Census: 31
Deficiencies: 4
Date: Jul 20, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident rights, accurate assessments, food safety, and hospice services at the nursing home.
Findings
The facility failed to maintain accurate and consistent advance directives for Resident #23, failed to accurately code the resident's Minimum Data Set (MDS) assessment, stored food improperly risking contamination, and did not ensure effective communication with the hospice provider for Resident #23. The facility census was 31.
Deficiencies (4)
F 0578: The facility failed to ensure Resident #23 had an accurate and consistent advance directive in place throughout the medical record. This affected one of eight residents reviewed for advance directives.
F 0641: The facility failed to accurately code Resident #23's Minimum Data Set (MDS) 3.0 assessment, incorrectly marking no life expectancy of less than six months and not indicating hospice care. This affected one of eight residents reviewed for assessment accuracy.
F 0812: The facility failed to ensure foods were stored in a clean and sanitary manner to prevent contamination and food borne illness. Multiple food items in the walk-in freezer and refrigerator were open, exposed to air, not dated, and some showed signs of spoilage. This had the potential to affect all residents.
F 0849: The facility failed to ensure effective and ongoing communication with Resident #23's hospice company, including failure to invite hospice staff to care conferences after hospice admission. This affected one of two residents reviewed for hospice services.
Report Facts
Facility census: 31
Residents reviewed for advance directives: 8
Residents reviewed for assessment accuracy: 8
Residents reviewed for hospice services: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding Resident #23's code status and hospice communication |
| Hospice Registered Nurse #610 | Hospice Registered Nurse | Interviewed regarding Resident #23's hospice records and care |
| Corporate MDS Nurse #600 | Corporate MDS Nurse | Interviewed regarding inaccuracies in Resident #23's Minimum Data Set assessment |
| Dining Services Manager #531 | Dining Services Manager | Interviewed during kitchen tour regarding food storage |
| Licensed Practical Nurse Clinical Coordinator #523 | Licensed Practical Nurse Clinical Coordinator | Interviewed regarding care conferences for Resident #23 |
| Social Services Director #539 | Social Services Director | Interviewed regarding care conference scheduling and hospice communication |
| Licensed Practical Nurse #508 | Licensed Practical Nurse | Observed at bedside of Resident #23 |
Inspection Report
Deficiencies: 0
Date: Jun 4, 2020
Visit Reason
The document is a statement of deficiencies and plan of correction related to a facility survey conducted on 06/04/2020.
Findings
No health deficiencies were found during the survey.
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