Village Gardens

(a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative, if any, written notice of the rate increase within two business days after initially providing services at the new level of care. The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. ***This was not met as evidenced by Responsible party for R1 was notified verbally on 3/22/26 and via text message on 3/30/26 of a rate increase effective 4/01/26. The change of change of condition for R1 occurred on 2/21/26.

Assist residents with self-administered medication

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self administered medication as needed. ***This was not met as evidenced by it was reported that there were pills in R1's bedroom, when found they were provided to staff 2 (S2). During visit on this date, resident 2 (R2) provided a pill to LPA that was found at dining room table belong to resident 3 (R3).

(g) Admission agreements shall specify the following: (B) Rate for additional items and services, including: 1.A comprehensive description of and the corresponding fee schedule for all additional items and services not included in the fees for basic services shall be listed. ***This was not met as evidenced by the admission agreement states that basic services includes 1) three nutrituous meals per day and 2) special diets if prescribed by a doctor. Correspondence from licensee states that additional food costs for a special diet would be a charged rate without and addeddum to the admission agreement.

Living accommodations aligned with facility function

87309 Storage Space and Access (a)... licensee shall ensure that, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not met as evidenced by: Licensee did not ensure that items which could pose a danger to residents were locked or stored inaccessible to residents. A chef cooking knife was left unattended on the kitchen counter while residents were present. This poses an immediate health and safety risk to persons in care.

Diet quality and preparation in safe healthful manner

(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. ***This was not met as evidenced by during LPA tour of facility, LPA observed expired food in the refrigerator and pantry.

Employees assisting residents with self-administration of medication; training requirements (b)Each employee who received training and passed the examination required in paragraph (5) of subdivision (a), and who continues to assist with the self- administration of medicines, shall also complete eight hours of in-service training on medication-related issues in each succeeding 12-month period. ***This was not met as evidenced by during record reviewLPA observed documentation showing staff have insufficient hours of annual training for medication.

Fire approval and staff access to unlock systems

(f)The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants.***This was not met as evidenced by LPA observed all medication cabinets to be unlocked and accessible to residents in care, cabinet locks observed to be inoperable.

(f)The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). ***This was not met as evidenced by LPA observed knives to be stored in unlocked dishwasher and accessible to residents.

(e) Swimming pools and other bodies of water shall be fenced and in compliance with state and local building codes.***This was not met as evidenced by LPA observed pool to be surrounded by a 6-foot gate but to be unlocked and accessible to residents. S1 was unable to locate key to secure pool during visit.