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Deficiency Records for Villa Mesa Care Center
A list of the most recent deficiencies for Villa Mesa 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 Villa Mesa 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-15 | 2024-10-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-15 | 2024-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-15 | 2024-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-15 | 2024-10-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-10-03 | 2024-10-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-19 | 2023-11-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-22 | 2023-07-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-21 | 2023-07-03 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-03-28 | 2023-04-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-28 | 2023-04-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-15 | 2023-03-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-14 | 2023-01-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-20 | 2022-11-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-25 | 2022-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-07 | 2022-07-14 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-06-02 | 2022-07-13 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-11-19 | 2022-01-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-19 | 2022-01-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-19 | 2022-01-12 | 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 | 2021-11-19 | 2022-01-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-19 | 2022-01-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-19 | 2022-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2022-01-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-19 | 2022-01-12 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-11-15 | 2021-12-15 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-10-31 | 2019-11-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-31 | 2019-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-31 | 2019-11-20 | 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 | 2019-10-31 | 2019-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-31 | 2019-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-11-20 | N |
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