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Deficiency Records for Harbor Villa Care Center
A list of the most recent deficiencies for Harbor Villa Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Harbor Villa Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-17 | 2024-08-01 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-06-05 | 2024-06-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-05 | 2024-06-28 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-02-12 | 2024-02-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-30 | 2023-11-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-30 | 2023-11-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-22 | 2023-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-22 | 2023-09-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-06 | 2023-08-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-06 | 2023-08-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-06 | 2023-08-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-28 | 2023-07-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-12 | 2023-05-02 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-09 | 2023-03-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-09 | 2023-03-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-12 | 2023-01-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-23 | 2022-09-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-23 | 2022-09-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-23 | 2022-09-21 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-08-23 | 2022-09-21 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-08-23 | 2022-09-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-23 | 2022-09-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-23 | 2022-09-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-23 | 2022-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-23 | 2022-09-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-23 | 2022-09-21 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-08-23 | 2022-09-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-23 | 2022-09-21 | N |
| 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. | Health | 2022-08-23 | 2022-09-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-23 | 2022-09-21 | N |
| Dispose of garbage and refuse properly. | Health | 2022-08-23 | 2022-09-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-23 | 2022-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-23 | 2022-09-21 | N |
| Keep all essential equipment working safely. | Health | 2022-08-23 | 2022-09-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-25 | 2022-09-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-08-25 | 2022-09-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-25 | 2022-09-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-25 | 2022-09-12 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-25 | 2022-09-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-25 | 2022-09-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-08-25 | 2022-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-25 | 2022-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-25 | 2022-09-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-25 | 2022-09-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-03 | 2022-06-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-03 | 2022-06-19 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-26 | 2019-10-11 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-08-23 | 2019-09-06 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-08-23 | 2019-09-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-23 | 2019-09-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-23 | 2019-09-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-23 | 2019-09-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-23 | 2019-09-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-23 | 2019-09-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-23 | 2019-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-23 | 2019-09-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-11-28 | 2018-12-19 | N |
| Develop a communication plan. | Fire Safety | 2018-11-28 | 2018-12-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-28 | 2018-12-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-28 | 2018-12-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-28 | 2018-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-28 | 2018-12-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-28 | 2018-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-28 | 2018-12-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-19 | 2018-10-03 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-09-19 | 2018-10-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-19 | 2018-10-03 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-09-19 | 2018-10-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-19 | 2018-10-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-19 | 2018-10-03 | N |
| 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. | Health | 2018-09-19 | 2018-10-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-19 | 2018-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-19 | 2018-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-19 | 2018-10-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-19 | 2018-10-03 | N |
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