H & J Vonderlieth Lvg Ctr, The

Inspection findings

1. Dec 11, 2025 Health · 8 findings
   • Not serious Scope/severity D

     F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

     Corrected Dec 26, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Dec 26, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Dec 26, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 26, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Jan 2, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jan 2, 2026 · CMS fire safety

   • Not serious Scope/severity C

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Jan 2, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Jan 2, 2026 · CMS fire safety

2. Sep 12, 2024 Fire Safety · 2 findings
   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Sep 24, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Sep 23, 2024 · CMS fire safety

3. Aug 3, 2023 Health · 8 findings
   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Aug 18, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Aug 3, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Aug 9, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Aug 11, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Aug 3, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Aug 11, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Aug 16, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0930 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper storage of liquid oxygen.

     Corrected Aug 16, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• AYLESWORTH, RICHARD — corporate director, NOT APPLICABLE, since 05/09/2017
• COX, MELISSA — corporate director, NOT APPLICABLE, since 01/01/2022
• COX, MELISSA — adp of the snf, NOT APPLICABLE, since 02/04/2025
• CROSS, THOMAS — corporate director, NOT APPLICABLE, since 11/02/2007
• CURRY, DANIEL — corporate officer, NOT APPLICABLE, since 06/07/2022
• FREER, LYNN — corporate officer, NOT APPLICABLE, since 10/01/2012
• HART, BENJAMIN — operational/managerial control, NOT APPLICABLE, since 07/21/2011
• HART, STEVEN — corporate officer, NOT APPLICABLE, since 07/01/2023
• HILD, JAMES — corporate officer, NOT APPLICABLE, since 10/01/2012
• KINCADE, DONNA — corporate director, NOT APPLICABLE, since 06/25/2018
• KINCADE, DONNA — adp of the snf, NOT APPLICABLE, since 02/04/2025
• MARTIN, DEREK — corporate director, NOT APPLICABLE, since 01/01/2025
• MARTIN, JEFF — corporate director, NOT APPLICABLE, since 09/15/2011
• MCDOWELL, CATHERINE — corporate director, NOT APPLICABLE, since 04/01/2022
• PRZYKOPANSKI, PAT — corporate director, NOT APPLICABLE, since 05/09/2017
• VOLLE, RICHARD — corporate director, NOT APPLICABLE, since 01/01/2016
• WEITEKAMP, KAITLIN — corporate director, NOT APPLICABLE, since 01/01/2025
• WUBBEN, JULIAN — corporate director, NOT APPLICABLE, since 09/15/2011
• HENRY & JANE VONDERLIETH LIVING CENTER INC — 5% or greater direct ownership interest, 100%, since 05/09/2017
• HERITAGE OPERATIONS GROUP, LLC — operational/managerial control, NOT APPLICABLE, since 05/09/2017
• HERITAGE OPERATIONS GROUP, LLC — trustee of the snf, NOT APPLICABLE, since 05/09/2017
• HERITAGE OPERATIONS GROUP, LLC — adp of the snf, NOT APPLICABLE, since 01/02/2025