Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Village Place Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and high fall risk experienced a fall that was not documented or assessed by the nurse on duty, and neither the DON nor the physician was notified. The resident later reported pain, but this was not communicated to nursing, and an ordered X-ray was never completed despite being marked as done. The resident's condition declined, and hospital imaging revealed multiple fractures. Staff interviews confirmed failures in communication, documentation, and follow-up, resulting in neglect and Immediate Jeopardy.
A resident with severe cognitive impairment and a history of falls experienced an unwitnessed fall that was not properly documented, reported, or followed up by staff. The facility failed to notify the physician and DON, did not conduct a post-fall assessment or investigation, and did not implement new interventions. The resident's pain and injuries were not recognized until a later hospital transfer, where serious fractures were identified. Staff interviews revealed a lack of awareness and protocol breakdowns, and the facility lacked a system to track fall risks and incidents.
A resident with severe cognitive impairment experienced a fall that was not properly documented or reported by nursing staff. The physician and therapy department were not notified, and required diagnostic X-rays were not completed or tracked. The resident later required hospital transfer, where multiple injuries were discovered. Facility staff interviews revealed a lack of awareness, missing documentation, and no system to identify residents at risk for falls, with inconsistent incident reporting and no nursing supervisor on evening or night shifts.
A resident with severe cognitive impairment and high fall risk experienced a fall that was not documented or reported by nursing staff, with no post-fall assessment or physician notification. The resident's pain complaints were not communicated, and a physician-ordered X-ray was not completed or tracked. Facility administration and nursing leadership were unaware of the incident due to breakdowns in documentation, communication, and oversight, resulting in the resident's emergency hospital transfer with serious injuries and a finding of Immediate Jeopardy.
The facility failed to prevent the misappropriation of controlled medications for four residents when multiple tablets of narcotics and other controlled substances were found missing from medication carts. A nurse left the facility several times during her shift with the medication cart keys, did not follow sign-out procedures, and refused to count medications with the oncoming nurse. The discrepancies were discovered after the nurse abruptly left, but the incident was not reported to the State Agency or fully investigated internally, despite causing distress to affected residents.
The facility failed to promptly review and resolve grievances filed by residents, as evidenced by multiple cases where residents reported unresolved issues such as missing personal items, inadequate supplies, and lack of communication regarding hospital transfers. Despite filing grievances, residents and their families did not receive timely responses or resolutions, highlighting deficiencies in the facility's grievance handling process.
The facility failed to provide scheduled showers and personal hygiene care for several residents, as required by their care plans. Multiple residents reported not receiving showers, and documentation confirmed these omissions. Additionally, some residents were observed with untrimmed nails and without necessary palm protectors, indicating a lack of personal hygiene care.
The facility failed to properly disinfect a multi-resident use glucometer and adhere to standard precautions during medication administration. A nurse did not allow the glucometer to remain wet for the required time after disinfection, and an LPN handled pills with ungloved hands for two residents, contrary to the facility's hand hygiene policy.
A facility failed to provide ordered treatments for three residents, including Geri sleeves and compression stockings for one resident, padded boots for another, and a dermatology consultation for a third resident with a worsening rash. The unavailability of supplies and lack of communication with the physician contributed to these deficiencies.
A resident with severe cognitive impairment lost multiple personal items during their stay, including clothing, a cell phone, dentures, and a C-Pap machine. The facility did not follow its policy on investigating theft or misappropriation, as the inventory form was incomplete upon discharge. The Interim DON confirmed the loss of the cell phone but did not provide a thorough investigation or follow-up with the family, leading to a deficiency in promoting the resident's rights.
A resident with severe cognitive impairment experienced an allergic reaction to a new anxiety medication, resulting in swelling, hives, and thrush. The LTC facility failed to notify the resident's representative about the adverse reaction and changes in the resident's condition, as required by their policy. The Interim DON confirmed the lack of documentation and notification.
The facility failed to involve two residents and their representatives in care plan meetings after completing the comprehensive admission MDS assessment. Despite policy requirements, there was no documentation of care plan meetings being held with the residents or their representatives. The MDS Coordinator and DON confirmed the lack of documentation, indicating non-compliance with the facility's policy.
The facility failed to prevent the development or worsening of pressure ulcers for two residents. One resident, with hemiplegia and an unstageable pressure ulcer, was not repositioned adequately, and the air mattress settings were incorrect. Another resident, with diabetes and a pressure ulcer on the heel, did not receive the ordered padded boots due to supply delays and lack of communication with the physician. These deficiencies highlight lapses in pressure ulcer prevention protocols and timely provision of necessary equipment.
The facility failed to provide necessary care to prevent a decline in range of motion for three residents with limited mobility. One resident was observed without a prescribed hand splint, another without a palm protector, and a third without a rolled washcloth or palm protector, despite occupational therapy recommendations. Care plans lacked necessary interventions, and staff were unaware of or did not follow through with the required care.
Failure to Document, Assess, and Report Resident Fall and Injury
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment and high fall risk was found on the floor in his room. The licensed nurse on duty failed to document the fall, did not assess the resident for injuries such as fractures, and did not notify the DON or physician. The clinical record lacked evidence of a fall investigation or implementation of interventions to prevent further incidents. The resident's care plan required substantial to maximal assistance with activities of daily living, including transfers, and the resident was not ambulatory due to medical and safety concerns. Following the fall, the physical therapy assistant documented that the resident verbalized right knee and groin/hip pain but did not communicate this change in condition to the nursing department. A unit manager later wrote an order for an X-ray of the right hip, but the X-ray was never performed, and a nurse incorrectly marked it as completed. There was no documentation of the X-ray results, and the resident's pain was not properly evaluated or reported. The resident continued to decline, requiring maximum assistance for mobility, and was eventually transferred to the hospital for altered mental status and abnormal labs. Hospital imaging revealed a comminuted intertrochanteric right femoral fracture and an acute lumbar vertebra fracture. Interviews with facility staff revealed a lack of awareness and communication regarding the fall, the X-ray order, and the resident's change in condition. The DON and unit manager were not notified of the fall, and there was no formal system to track diagnostic orders or ensure follow-up. The physical therapy and nursing documentation systems were not integrated, leading to missed communication about the resident's pain. The facility's policies required assessment, documentation, and reporting of falls and changes in condition, but these processes were not followed, resulting in neglect and a determination of Immediate Jeopardy.
Failure to Document and Respond to Resident Fall Resulting in Serious Injury
Penalty
Summary
A deficiency occurred when the facility failed to protect a resident with a history of falls and severe cognitive impairment from avoidable falls and related serious injuries. The resident was admitted with vascular dementia, muscle weakness, and a need for assistance with personal care. Despite being identified as high risk for falls, the facility did not consistently document, report, or follow up on the resident's fall that occurred in the resident's room. There was no evaluation or documentation of the fall in the clinical record, and the physician and DON were not notified for a post-fall assessment. No fall investigation or root cause analysis was conducted, and no corrective actions were implemented to prevent further incidents. The clinical record lacked documentation of the fall, physician notification, post-fall assessment, and individualized interventions to prevent further falls. Although a neurological evaluation was completed, it did not lead to appropriate follow-up, and an X-ray order was entered but not completed or tracked. Therapy staff noted the resident's pain and attempted to notify the physician and Director of Rehab, but there was no documentation that nursing staff were informed. The resident's pain was not adequately documented or managed, and the resident was later transferred to the hospital for altered mental status, where a right femoral fracture and lumbar vertebrae fracture were identified. Interviews with facility staff revealed a lack of awareness and breakdowns in protocol regarding the fall, with the DON and Unit Manager unaware of the incident and the X-ray order. The facility did not have a system in place to identify residents at risk for falls or to ensure that incidents were reported and followed up appropriately. The incident was not included in the facility's fall report, and the attending physician was not notified of the fall or the resident's pain. The failure to document and respond to the fall resulted in a delay in identifying serious injuries.
Failure to Ensure Nursing Staff Competency and Oversight After Resident Fall
Penalty
Summary
Nursing staff failed to ensure appropriate assessment, documentation, and follow-up after a resident experienced a fall. The resident, who had severe cognitive impairment and required substantial assistance with activities of daily living, was found on the floor in their room. The nursing staff did not document the fall, notify the physician, or report the incident to the next shift or therapy department, as required by facility policy. There was also no documentation of individualized interventions to prevent further falls or of a thorough evaluation of the incident. Further review revealed that a physician's order for diagnostic X-rays was entered, but the X-rays were never completed, and the results were not documented. Nursing staff incorrectly indicated on the treatment administration record that the X-rays had been done. There was no system in place to track diagnostic orders to ensure completion and communication of results. Additionally, the therapy department was not notified of the fall, and there was a lack of documentation regarding the resident's subsequent pain and decline in mobility. The resident was later transferred to the hospital, where a right femoral fracture and lumbar vertebrae fracture were identified, along with new onset hematuria and a Foley catheter placement without a documented physician order. Interviews with facility staff, including the DON and medical director, confirmed a lack of awareness of the fall, missing documentation, and absence of a system to identify residents at risk for falls. The facility did not have a nursing supervisor for evening or night shifts, and incident reporting was inconsistent. The resident's fall was not included in the facility's incident report log, and staff failed to follow established protocols for post-fall assessment, documentation, and communication.
Failure to Prevent Neglect and Maintain Oversight Resulting in Immediate Jeopardy
Penalty
Summary
Facility administration failed to utilize its resources effectively and maintain oversight to prevent the neglect of a resident with severe cognitive impairment who was dependent on staff for activities of daily living. The resident was admitted with a known fall risk, as documented in the admission and fall risk evaluations, and sustained a fall that was not documented in the clinical record. There was no post-fall assessment, no physician notification, and no individualized interventions implemented to prevent further falls. The administration was unaware of the incident, and the nursing staff did not follow established protocols for incident documentation and follow-up. Further review revealed that a physician's order for a right hip and knee X-ray was entered, but the X-ray was never completed, and the results were not documented. Nursing staff placed a check mark on the treatment administration record indicating the X-ray was done, but interviews confirmed it was not. There was no formal system in place to track diagnostic orders or ensure completion and communication of results. Additionally, the resident's complaints of pain were not communicated to the nursing department, and there was no documentation of follow-up or notification to the physician regarding these complaints. Interviews with staff, including the DON, unit manager, and LPN, confirmed a lack of awareness and breakdowns in communication and documentation processes. The DON acknowledged gaps in the incident reporting and order review systems, and there was no supervisor coverage during certain shifts. The administrator was also unaware of the incident and could not find pertinent information in the clinical record. These failures resulted in the resident being emergently transferred to the hospital, where significant injuries were identified, and led to a determination of Immediate Jeopardy due to the likelihood of serious harm or injury.
Failure to Prevent and Report Misappropriation of Controlled Medications
Penalty
Summary
The facility failed to implement effective processes to prevent the misappropriation of residents' controlled medications for four residents. According to facility policy, nursing staff are required to count controlled medications at the end of each shift, with both the oncoming and outgoing nurses present, and to document and report any discrepancies to the Director of Nursing Services. However, review of medication logs and pharmacy packages revealed that multiple tablets of controlled substances, including Hydrocodone/Acetaminophen, Oxycodone/Acetaminophen, Oxycodone, and Chlordiazepoxide, were unaccounted for across four residents. Photographic evidence was obtained to document the discrepancies between the inventory logs and the actual medication counts. Interviews with the DON and Administrator revealed that the missing medications were discovered after a nurse, who was assigned to the medication cart, left the facility several times during her shift with the medication cart keys and did not follow proper sign-out procedures. The nurse also refused to count the controlled medications with the oncoming nurse and left the facility abruptly, after which the discrepancies were discovered. The DON reported the incident to the local police and the Board of Nursing but did not conduct an internal investigation or report the misappropriation to the State Agency, based on advice from the Regional Nurse Consultant, who believed that replacing the medications for the residents was sufficient. Residents affected by the missing medications were informed by the facility that some of their medications had been taken, which caused distress and concern for their safety. One resident reported feeling unsafe and not receiving follow-up information about the outcome of the incident. The facility's failure to follow its own policies and regulatory requirements resulted in the misappropriation of resident property and a lack of appropriate reporting and investigation.
Failure to Address Resident Grievances
Penalty
Summary
The facility failed to ensure that grievances filed by residents were promptly reviewed and investigated, as evidenced by the experiences of five residents. Resident #41, who had intact cognition, reported missing clothes from the facility laundry and filed a grievance on 5/6/24. Despite the administrator's acknowledgment of the grievance, there was no documentation of efforts to resolve the issue or keep the resident informed. The resident was promised reimbursement for the missing clothes, which had not been fulfilled by the time of the survey. Resident #36, also with intact cognition, expressed dissatisfaction with the facility's failure to provide Pull-Ups instead of incontinent briefs, which she found embarrassing. She filed a grievance on 3/28/24, but there was no documentation of any action taken to address her request. Similarly, Resident #37, who had been requesting XXL Pull-Ups since March 2024, found no resolution to her grievance, as the facility's supply room lacked the necessary size, and her grievance was not documented or addressed. Resident #272's spouse filed a grievance after not being informed of her husband's transfer to the hospital. The grievance was not properly investigated, and there was no follow-up communication with the spouse. Additionally, Resident #422's family reported missing personal items, including a cell phone, dentures, and parts of a C-Pap machine, upon discharge. The facility failed to document the inventory of personal effects at discharge, and the social worker did not return calls regarding the missing items, indicating a lack of proper grievance handling and resolution.
Failure to Provide Scheduled Showers and Personal Hygiene Care
Penalty
Summary
The facility failed to provide necessary care and services to maintain personal hygiene for seven residents who were unable to perform activities of daily living independently. The facility's policy required that residents receive assistance with personal hygiene, including showers, as per their care plans. However, multiple residents reported not receiving scheduled showers, and documentation confirmed that these showers were not provided as scheduled. For instance, Resident #6, who required moderate assistance, did not receive any scheduled showers between May 21 and June 18, 2024, despite being scheduled for showers twice a week. Resident #32, who was dependent on staff for bathing, also reported not receiving scheduled showers, and her family filed a grievance regarding this issue. Documentation showed that she only received three showers between May 20 and June 17, 2024. Similarly, Resident #47, who required moderate assistance, reported receiving only one shower instead of the scheduled two per week, and CNA documentation confirmed this lack of care. Resident #53, who required maximum assistance, did not receive any of her scheduled showers between May 22 and June 15, 2024. Additionally, Resident #21, who was incontinent and required showers twice a week, received only two showers out of a possible 13 since her admission. There was no documentation of her refusing showers or any interventions taken to encourage her to take them. Furthermore, Resident #15 and Resident #40 were observed with untrimmed nails and without necessary palm protectors, indicating a lack of personal hygiene care. The Director of Nursing confirmed these deficiencies, acknowledging that the facility staff did not follow the required procedures for documenting and providing personal hygiene care.
Infection Control Deficiencies in Glucometer Disinfection and Medication Administration
Penalty
Summary
The facility failed to ensure proper disinfection of a multi-resident use glucometer and adherence to standard precautions during medication administration. Observations revealed that a registered nurse did not allow the glucometer to remain visibly wet for the required time after wiping it with a disinfectant, as per the manufacturer's guidelines and facility policy. The nurse admitted to not knowing how long the device remained wet, and the unit manager confirmed the need for the glucometer to stay wet for one to two minutes. Additionally, during medication administration, a licensed practical nurse was observed handling pills with ungloved hands for two residents. The nurse confirmed this was her usual practice, which contradicts the facility's hand hygiene policy that emphasizes hand hygiene as a primary means to prevent infection spread. These actions indicate a failure to follow established infection control protocols, potentially compromising resident safety.
Failure to Provide Ordered Treatments and Consultations
Penalty
Summary
The facility failed to provide treatment and care in accordance with professional standards for three residents. Resident #6, who had diagnoses including hemiplegia and hemiparesis, was not provided with Geri sleeves and compression stockings as ordered by the physician. Despite the physician's orders, the Geri sleeves were not applied due to unavailability, and the compression stockings were also not applied for the same reason. The nursing staff did not notify the physician about the unavailability of these items, and the resident continued to experience bruising and swelling. Resident #47, who had a pressure ulcer on the right heel, was not provided with padded boots as ordered by the physician to prevent further pressure wounds. The resident's family member reported that the boots were never seen in the room, and the nursing staff confirmed that the boots were not available and had been ordered. The physician was not informed about the unavailability of the padded boots, and the resident remained at risk for pressure wounds. Resident #423 was admitted with a full-body rash that worsened over time. Despite the resident's spouse requesting a dermatology consultation multiple times, no such consultation was conducted. The rash was documented inconsistently in the resident's records, and there was no care plan addressing the rash. The medical director later suggested that the rash might be an allergic reaction, but no definitive diagnosis was made, and the resident continued to suffer from the rash.
Failure to Safeguard Resident's Personal Possessions
Penalty
Summary
The facility failed to uphold the rights of a resident to retain and use personal possessions, as evidenced by the loss of multiple personal items during the resident's stay. The resident, who had severe cognitive impairment due to dementia and other medical conditions, was admitted with several personal belongings, including clothing, a cell phone, dentures, and a C-Pap machine. Upon discharge, the resident's family discovered that most of these items were missing, with only a dress and one bra remaining. The family reported the missing items to the facility staff, but the facility did not adequately address the issue or communicate effectively with the family. The facility's policy on investigating incidents of theft and misappropriation of resident property was not followed, as evidenced by the lack of a completed inventory form upon discharge. The Interim Director of Nursing confirmed the loss of the cell phone and speculated that it might have been lost during a hospital visit. However, there was no evidence of a thorough investigation or follow-up with the family regarding the missing items. The facility's failure to safeguard the resident's personal possessions and communicate with the family constitutes a deficiency in promoting the resident's rights to retain and use personal possessions.
Failure to Notify Resident's Representative of Allergic Reaction
Penalty
Summary
The facility failed to notify the resident's representative of changes in condition for a resident who experienced an allergic reaction to a medication. The facility's policy requires prompt notification of the resident, their attending physician, and representative in the event of changes in the resident's medical or mental condition. However, in this case, the resident's representative was not informed about the allergic reaction, the change in medication, or the resident's worsening condition, which included swelling of the face and eyes, hives, and thrush in the mouth. The resident, who had severe cognitive impairment and multiple diagnoses including dementia and diabetes, was administered a new medication for anxiety, Buspirone, which led to an allergic reaction. Despite the adverse reaction and the resident's deteriorating condition, the facility did not notify the resident's family. The resident's daughter only became aware of the situation when she visited and found her mother in poor physical condition. The Interim Director of Nursing acknowledged the lack of documentation and notification to the resident's representative regarding the allergic reaction and subsequent medical issues.
Failure to Involve Residents in Care Plan Meetings
Penalty
Summary
The facility failed to provide evidence of conducting care plan conferences with residents and/or their representatives after completing the comprehensive admission Minimum Data Set (MDS) assessment. This deficiency was identified for two residents, Resident #13 and Resident #54, out of four residents reviewed. The facility's policy requires the development of an individualized comprehensive care plan within seven days of the MDS assessment, with the involvement of the resident and their family or representative. However, the facility did not adhere to this policy, as there was no documentation of care plan meetings being held with the residents or their representatives. Resident #21 and her granddaughter expressed concerns about not being included in a care plan meeting since her admission. Despite requests, there was no documentation indicating that Resident #21 or her family attended the Interdisciplinary Team (IDT) meeting. The MDS assessment for Resident #21 was completed, but the facility failed to document the involvement of the resident or her family in the care planning process. Similarly, Resident #13 reported not having met with the IDT to discuss his care plan since his admission. The facility did not document any invitation or encouragement for Resident #13 or his representative to participate in the care planning process. The MDS Coordinator and the Director of Nursing (DON) confirmed the lack of documentation regarding the involvement of residents and their families in the care plan meetings. The facility's policy mandates that the nursing department is responsible for inviting residents and their families to these meetings. However, the review of medical records for Residents #21 and #13 revealed no evidence of such invitations or encouragement, indicating a failure to comply with the facility's Care Planning - Interdisciplinary Team policy.
Failure to Prevent Pressure Ulcers in Two Residents
Penalty
Summary
The facility failed to prevent the development or worsening of pressure ulcers for two residents, identified as Resident #40 and Resident #47. Resident #40, who was admitted with hemiplegia and hemiparesis following a cerebral infarction, had an unstageable pressure ulcer upon admission. Despite the care plan and recommendations for repositioning and pressure reduction, observations revealed that Resident #40 was often left on her back without proper repositioning or offloading of pressure from her heels. The air mattress settings were not adjusted according to her weight, and staff interviews confirmed a lack of adherence to repositioning protocols, contributing to the worsening of her condition. Resident #47, admitted with type 2 diabetes, peripheral vascular disease, and a pressure ulcer on the right heel, was also at risk for pressure wounds. The resident required substantial assistance with bed mobility and had a physician's order for padded boots to offload pressure from the heels. However, observations and interviews revealed that the padded boots were not provided due to delays in ordering and a lack of communication with the physician. The facility did not have a policy for following physician orders, and the necessary supplies were not available in a timely manner, leading to inadequate pressure ulcer prevention for Resident #47. The report highlights significant lapses in the facility's adherence to pressure ulcer prevention protocols and the timely provision of necessary equipment. Staff interviews and observations indicated a lack of proper repositioning and pressure offloading for both residents, contributing to the development and worsening of pressure ulcers. The facility's failure to follow through with physician orders and ensure the availability of essential supplies further exacerbated the situation, resulting in deficiencies in the care provided to these residents.
Failure to Prevent Decline in Range of Motion for Residents
Penalty
Summary
The facility failed to provide adequate care and services to prevent a decline in range of motion for three residents with limited mobility. Resident #14, who had hemiplegia and hemiparesis following a stroke, was observed multiple times without a prescribed hand splint, despite recommendations from occupational therapy to use it to maintain proper alignment and protect skin integrity. The care plan for Resident #14 did not include any interventions for range of motion or hand splint care, and the Director of Nursing (DON) acknowledged that nurses should inquire if care is not being provided. Resident #15, also affected by hemiplegia and hemiparesis, was observed without a palm protector on several occasions, despite occupational therapy recommendations for its use to prevent further decline. The resident's care plan lacked interventions to prevent a decrease in range of motion or worsening contractures. Interviews revealed that staff were unaware of the need for a palm protector, and the DON confirmed the absence of an order for its use, despite the occupational therapy notes indicating its necessity. Resident #40, with similar diagnoses, was observed without a rolled washcloth or palm protector, which were recommended by occupational therapy to maintain finger and elbow extension. The care plan only listed therapy interventions, with no nursing or CNA interventions. Staff interviews confirmed the lack of consistent application of the recommended devices, and the DON and Director of Rehabilitation acknowledged the need for written orders to ensure staff compliance with therapy recommendations.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
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Nursing homes near Port Charlotte
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Charlotte Bay Rehab And Care Center | 1.9 mi | ★★★★★ | 1 | 0 |
| Harbour Health Center | 2.1 mi | ★★★★★ | 6 | 0 |
| Solaris Healthcare Charlotte Harbor | 2.3 mi | ★★★★★ | 1 | 0 |
| Douglas Jacobson State Veterans Nursing Home | 2.4 mi | ★★★★★ | 1 | 0 |
| Sun Harbor Healthcare | 2.8 mi | ★★★★★ | 0 | 0 |
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