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Deficiency Records for Vasona Creek Healthcare Center
A list of the most recent deficiencies for Vasona Creek Healthcare 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 Vasona Creek Healthcare 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-26 | 2024-09-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-19 | 2024-08-06 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-07-19 | 2024-08-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-19 | 2024-08-02 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-18 | 2024-07-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-18 | 2024-07-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-13 | 2024-06-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-30 | 2024-05-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-30 | 2024-05-30 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-04-30 | 2024-05-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-24 | 2024-05-01 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-03-13 | 2024-03-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-13 | 2024-03-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-09 | 2024-03-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-09 | 2024-03-04 | Y |
| 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 | 2024-01-11 | 2024-02-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-11 | 2024-02-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-27 | 2024-01-12 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-12-11 | 2024-01-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-11 | 2024-01-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-28 | 2023-12-29 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-07 | 2023-12-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-16 | 2023-12-04 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-11-15 | 2023-12-01 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-11-06 | 2023-11-14 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-10-12 | 2023-11-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-29 | 2023-10-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-12 | 2023-08-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-01 | 2023-05-08 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-03 | 2023-04-07 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-03-03 | 2023-04-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-03 | 2023-04-07 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-03-03 | 2023-04-07 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-02-06 | 2023-02-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-06 | 2023-02-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-06 | 2023-02-24 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-02-13 | 2023-02-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-19 | 2023-02-17 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-01-19 | 2023-02-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-19 | 2023-02-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-13 | 2023-01-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-01 | 2022-11-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-05 | 2022-07-29 | Y |
| 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 | 2022-07-05 | 2022-07-29 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-06-02 | 2022-06-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-22 | 2022-01-20 | 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 | 2021-11-22 | 2022-01-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-11-22 | 2022-01-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-22 | 2022-01-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-22 | 2022-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-22 | 2022-01-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-22 | 2022-01-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-22 | 2022-01-20 | 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 | 2021-11-22 | 2022-01-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-22 | 2022-01-20 | 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 | 2021-11-22 | 2022-01-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-22 | 2022-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-22 | 2022-01-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-22 | 2022-01-20 | N |
| Report COVID19 data to residents and families. | Health | 2021-11-22 | 2022-01-20 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2021-11-22 | 2022-01-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-11-22 | 2022-01-20 | N |
| Use approved construction type or materials. | Fire Safety | 2021-11-23 | 2021-12-10 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-11-23 | 2021-12-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-23 | 2021-12-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-23 | 2021-12-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-23 | 2021-12-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-23 | 2021-12-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-23 | 2021-12-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-11-23 | 2021-12-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-07-17 | 2019-08-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-17 | 2019-08-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-17 | 2019-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-17 | 2019-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-17 | 2019-08-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-10 | 2019-06-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-10 | 2019-06-04 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-05-10 | 2019-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-10 | 2019-06-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-10 | 2019-06-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-10 | 2019-06-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-10 | 2019-06-04 | 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 | 2019-05-10 | 2019-06-04 | 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 | 2019-05-10 | 2019-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-10 | 2019-06-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-10 | 2019-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-10 | 2019-06-04 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-05-10 | 2019-06-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-05-10 | 2019-06-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-29 | 2018-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-29 | 2018-07-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-29 | 2018-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-29 | 2018-07-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-29 | 2018-07-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-19 | 2018-05-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-04-19 | 2018-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-19 | 2018-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-19 | 2018-05-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-19 | 2018-05-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-19 | 2018-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-19 | 2018-05-31 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2018-04-19 | 2018-05-31 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-04-19 | 2018-05-31 | N |
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