Inspection Reports for
Village on the Isle

930 SOUTH TAMIAMI TRAIL, VENICE, FL, 34285

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Deficiencies (last 7 years)

Deficiencies (over 7 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

57% better than Florida average
Florida average: 4.6 deficiencies/year

Deficiencies per year

8 6 4 2 0
2013
2015
2017
2021
2023
2024
2025

Inspection Report

Complaint
Deficiencies: 1 Date: May 19, 2025

Visit Reason
One deficiency related to risk management and QA with Class 3 severity.

Findings
One deficiency related to risk management and QA with Class 3 severity.

Deficiencies (1)
Tag A0165 — RISK MGMT & QA

Inspection Report

Routine
Deficiencies: 5 Date: May 21, 2024

Visit Reason
Multiple training related deficiencies and one background screening deficiency with Class 3 and Class 4 severities.

Findings
Multiple training related deficiencies and one background screening deficiency with Class 3 and Class 4 severities.

Deficiencies (5)
Tag A0081 — TRAINING - STAFF IN-SERVICE
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Tag A0091 — TRAINING - DOCUMENTATION & MONITORING
Tag CZ814 — BACKGROUND SCREENING CLEARINGHOUSE

Inspection Report

Routine
Deficiencies: 2 Date: May 16, 2024

Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident care, including adherence to physician orders and safety measures such as use of bed rails and grab bars.

Findings
The facility failed to consistently obtain daily weights as ordered for a resident with congestive heart failure and did not document refusals or notify the physician. Additionally, the facility failed to assess alternative interventions before using grab bars, did not assess for entrapment risks, and failed to conduct periodic maintenance of grab bars for residents.

Deficiencies (2)
F 0692: The facility failed to obtain daily weights as ordered for Resident #4 with congestive heart failure and did not document refusals or notify the physician of missing weights.
F 0700: The facility failed to assess alternative interventions before using grab bars for Resident #3 and did not assess or maintain grab bars to prevent entrapment risks.
Report Facts
Residents using grab bars: 30 Weights recorded: 8

Employees mentioned
NameTitleContext
Advanced Practice Registered Nurse (APRN)Documented edema and was unaware weights were not consistently obtained.
Licensed Practical Nurse (LPN) Staff AReported resident refusals to be weighed and inability to locate missing weights.
Director of Nursing (DON)Reported missing weights not documented and lack of physician notification.
Director of Rehabilitation (DOR)Described therapy screening and lack of documentation for alternative interventions before grab bar use.
Maintenance DirectorConducts bed inspections but does not check entrapment zones or maintain grab bars.

Inspection Report

Complaint Investigation
Deficiencies: 1 Date: Jan 20, 2023

Visit Reason
The inspection was conducted to investigate complaints regarding the improper labeling and unsecured storage of medications at the facility.

Complaint Details
The investigation was complaint-driven, focusing on medication labeling and storage issues. The complaint was substantiated as the facility failed to comply with medication safety policies.
Findings
The facility failed to label and safely store medications for 3 of 4 residents observed with unsecured medications at the bedside. Medications such as eye drops and over-the-counter drugs were found unsecured and unlabeled, violating facility policy.

Deficiencies (1)
F 0761: The facility failed to ensure drugs and biologicals were labeled according to professional principles and stored in locked compartments. Observations found unlabeled eye drops and unsecured medications on residents' bedside tables.
Report Facts
Residents with unsecured medications: 3 Residents observed with unsecured medications: 4

Employees mentioned
NameTitleContext
Staff ERegistered Nurse (RN)Confirmed presence of unlabeled eye drops on Resident #21's bedside table
Staff HLicensed Practical Nurse (LPN)Verified Resident #19 had unsecured eye drops stored at bedside
Staff GLicensed Practical Nurse (LPN)Reported medications for self-administering residents are stored in locked bathroom cabinets
Director of Nursing (DON)Director of NursingConfirmed medication storage violations and participated in joint interview
Facility AdministratorAdministratorParticipated in joint interview confirming no medications should be stored unsecured at bedside

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Jun 4, 2021

Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at the nursing home.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Standard
Deficiencies: 1 Date: Feb 27, 2017

Visit Reason
One staffing standards deficiency with Class 3 severity.

Findings
One staffing standards deficiency with Class 3 severity.

Deficiencies (1)
Tag A0078 — STAFFING STANDARDS - STAFF

Inspection Report

Complaint
Deficiencies: 2 Date: Mar 26, 2015

Visit Reason
Two deficiencies related to admissions and training with Class 3 severity.

Findings
Two deficiencies related to admissions and training with Class 3 severity.

Deficiencies (2)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0081 — TRAINING - STAFF IN-SERVICE

Inspection Report

Standard
Deficiencies: 2 Date: Apr 30, 2013

Visit Reason
Two deficiencies related to admissions and resident care supervision with Class 3 severity.

Findings
Two deficiencies related to admissions and resident care supervision with Class 3 severity.

Deficiencies (2)
Tag A0010 — ADMISSIONS - CONTINUED RESIDENCY
Tag A0025 — RESIDENT CARE - SUPERVISION

Report

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