The Blossoms at the Village Rehab & Nursing Center

Inspectors wroteBased on record review, observation, and interview, it was determined that the facility failed to serve three (Resident #56, #30, and #68) of three residents ordered fortified foods, reviewed for diet orders.

Inspectors wroteNumber of residents sampled: Number of residents cited: Based on observations and interviews it was determined that the facility failed to post the required nurse staffing information for resident and visitor access. Specifically, the facility failed to post nurse staffing information on 12/17/2025 until 2:00 PM.

Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to assess for, obtain physician's order for, and care plan for self-administration of medications for 2 (Resident #41 and Resident #73) of 2 residents reviewed for self-administration of medications.

Inspectors wroteBased on observations and interviews, the facility failed to ensure an unattended medication cart was not left unlocked and keys unattended.

Inspectors wroteThrough observation, interview, and policy review, the facility failed to ensure food brought in for residents was properly labeled, food items received had both open and expiration dates, and food serving items were properly stored.

Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, the facility failed to ensure hand hygiene was performed during medication administration, failed to ensure drinking cups did not become contaminated while preparing for medication administration, and failed to follow procedures for Enhanced Barrier Precautions for a resident with a feeding tube for 2 (Resident #92 and Resident #67) of 2 residents reviewed for infection prevention and control and hand hygiene; and failed to provide proper storage for oxygen tubing and updraft tubing and apparatus at bedside for 1 (Resident #7) of 1 reviewed for infection prevention and control measures.

Inspectors wroteBased on observation and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen, These failed practices had the potential to affect 103 residents who received meals from the kitchen, (total census: 104 ) as documented on a list provided by the Dietary Supervisor #1 on 11/02/23 at

Inspectors wroteBased on observation and interview the facility failed to ensure residents who reside on the secure unit were fed in a manner that provided dignity to each resident. This included standing over residents while feeding and calling residents honey, sweetie, mama, baby and granny. This failed practice had the ability to affect 24 residents residing on the secured unit as documented on the resident list by hall that was provided by the Administrator on 10/30/23. a. On 10/31/23 at 12:27 PM Certified Nursing Assistant (CNA) #1 was observed standing over residents feeding them. CNA #1 walked to the opposite end of the table and stood over the resident assisting them with feeding. CNA#1 was calling resident's honey, swettie, mama, and sugar. b. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure residents received an individual financial record statement quarterly for 1 (Resident #18) of 82 residents. This failed practice had the potential to affect 82 residents that had resident trusts managed by the facility.

Inspectors wroteF569 Based on interview and record review, the facility failed to ensure Medicaid recipient residents and/or their responsible parties were notified when their resident trust balance was within $200 of the maximum Medicaid recipient cash assets for 1 (Resident #18,) of 82 residents who were dependent on Medicaid for services and had trust funds managed by the facility.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure state survey results, and contact information for the ombudsman, and the Office of Long-Term Care [OLTC] was readily available for residents, family members, and staff in the locked unit. This failed practice affected 1 resident (R#2) of 4 sampled residents (R#2, R#74, R#90, R#100) and had the potential to affect 24 residents residing in the locked unit.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that resident chairs were free of tears, exposing the foam cushion in the smoking area to ensure an environment free of accident hazards. This failed practice had the potential to affect 4 sampled residents (R#26, R#69, R#92, R#95) of 18 residents residing on 100 hall, 200 hall, and 400 hall that smoke in the main smoking area.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure water was accessible and provided for 1 (Resident #46) of 5 sampled residents ( R#40, #44, #46,#61,#65), who required assistance with getting fluids. The failed practice had the potential to affect 9 residents who drink water according to the documentation of resident's who take fluid by mouth who are dependent on staff that was provided on 11/2/23 at 10:38 am by the (DON) Director of Nursing.

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure meals were served in a method that maintained the appearance of cold and hot food products and at temperatures that were acceptable to the residents to improve palatability and encourage good nutritional intake during 2 of 2 meals observed. This failed practice had the potential to affect 24 residents who receive meal trays in their rooms on the 300 Hall (Unit), as documented on a list provided by the Dietary Supervisor on 11/02/23/13/2023 at :AM.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff washed and/or sanitized their hands during meal service on the facility's 'special secured unit to prevent cross-contamination which had the potential to affect 24 residents residing on the 'special secured unit as documented on the resident list by hall provided by the Administrator on 10/30/23.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure resident without self-administration approved by the Interdisciplinary Team [IDT]. This failed practice affected 1 resident (R#92) of 4 sampled residents (R#69, R#74, R#90, R#92) and had the potential to affect 11 residents with nebulizer orders.