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Deficiency Records for Rose Villa Health Care Center
A list of the most recent deficiencies for Rose Villa Health 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 Rose Villa Health 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-07 | 2024-05-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-04-07 | 2024-05-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-07 | 2024-05-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-07 | 2024-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-07 | 2024-05-07 | N |
| 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 | 2024-04-07 | 2024-05-07 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-04-07 | 2024-05-07 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-04-07 | 2024-05-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-04-07 | 2024-05-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-07 | 2024-05-07 | 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 | 2024-04-07 | 2024-05-07 | 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 | 2024-04-07 | 2024-05-07 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2024-04-07 | 2024-05-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-04-07 | 2024-05-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-04-07 | 2024-05-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-07 | 2024-05-07 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-07 | 2024-05-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-05 | 2024-03-29 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-10-13 | 2023-11-06 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-11 | 2022-06-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-08 | 2022-05-06 | N |
| Provide activities to meet all resident's needs. | Health | 2022-04-08 | 2022-05-06 | N |
| 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 | 2022-04-08 | 2022-05-06 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-04-08 | 2022-05-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-08 | 2022-05-06 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-04-08 | 2022-05-06 | 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 | 2022-04-08 | 2022-05-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-08 | 2022-05-06 | 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 | 2022-04-08 | 2022-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-08 | 2022-05-06 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-04-08 | 2022-05-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-08 | 2022-05-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-08 | 2022-05-06 | N |
| Provide enough space and equipment to meet each resident's needs | Health | 2022-04-08 | 2022-05-06 | N |
| Keep all essential equipment working safely. | Health | 2022-04-08 | 2022-05-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-04-06 | 2022-04-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-06 | 2022-04-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-10-13 | 2021-11-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-13 | 2021-11-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-13 | 2021-11-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-10 | 2019-09-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-08-10 | 2019-09-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-10 | 2019-09-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-10 | 2019-09-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-10 | 2019-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-10 | 2019-09-12 | N |
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