Inspection Reports for
Village on the Isle

930 SOUTH TAMIAMI TRAIL, VENICE, FL, 34285

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4 Reports

2021–2026

Inspection Report — May 20, 2026

Complaint Investigation
Date: May 20, 2026

Visit Reason
The report covers 22 inspections of Village on the Isle from April 30, 2013 to May 20, 2026, including complaint and standard visits.

Findings
Across the inspection history, 14 deficiencies were recorded, all Class 3 or 4, with no serious deficiencies. The most recent visit had no deficiencies.

Citations (14)
Medication - Assistance With Self-admin — cited February 3, 2026, corrected May 2, 2026
Resident Contracts — cited February 3, 2026, corrected March 2, 2026
Alzheimer Disease/dementia; Training — cited February 3, 2026, corrected March 2, 2026
Risk Mgmt & Qa — cited May 19, 2025, corrected August 24, 2025
Training - Staff In-service — cited May 21, 2024, corrected June 21, 2024
Training - Hiv/aids — cited May 21, 2024, corrected June 21, 2024
Training - Do Not Resuscitate Orders — cited May 21, 2024, corrected June 21, 2024
Training - Documentation & Monitoring — cited May 21, 2024, corrected June 21, 2024
Background Screening Clearinghouse — cited May 21, 2024, corrected June 21, 2024
Staffing Standards - Staff — cited February 27, 2017, corrected March 27, 2017
Admissions - Continued Residency — cited March 26, 2015, corrected April 21, 2015
Training - Staff In-service — cited March 26, 2015, corrected April 21, 2015
Admissions - Continued Residency — cited April 30, 2013, corrected June 18, 2013
Resident Care - Supervision — cited April 30, 2013, corrected June 18, 2013
Report Facts
Inspections: 22 Visits with deficiencies: 7 Clean visits: 9 Deficiencies: 14 Serious deficiencies: 0 Legal actions: 1 Total fines: 500

Inspection Report — May 16, 2024

Routine
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.

Citations (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 — Jan 20, 2023

Complaint Investigation
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.

Citations (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 — Jun 4, 2021

Annual Inspection
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.

3 CMS Surveys

CMS Survey — Jun 4, 2021

Jun 4, 2021

CMS Survey — Jan 20, 2023

Jan 20, 2023

CMS Survey — May 16, 2024

May 16, 2024

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