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Deficiency Records for Flower Villa, Inc
A list of the most recent deficiencies for Flower Villa, Inc. 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 Flower Villa, Inc. 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? |
---|---|---|---|---|
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-28 | 2024-07-23 | Y |
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 | 2024-03-01 | 2024-03-22 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-01 | 2024-03-22 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-03-01 | 2024-03-22 | 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 | 2024-03-01 | 2024-03-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-01 | 2024-03-22 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-03-01 | 2024-03-22 | N |
Implement a program that monitors antibiotic use. | Health | 2024-03-01 | 2024-03-22 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-03-01 | 2024-03-22 | N |
Provide emergency officials' contact information. | Fire Safety | 2024-03-01 | 2024-03-22 | N |
Construct fire resistant interior walls. | Fire Safety | 2024-03-01 | 2024-03-22 | N |
Provide and implement an infection prevention and control program. | Health | 2023-09-12 | 2023-09-22 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-14 | 2023-05-01 | Y |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-11-07 | 2022-05-23 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-06 | 2022-03-08 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-07 | 2021-11-30 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-07 | 2021-11-30 | 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 | 2021-11-07 | 2021-11-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-07 | 2021-11-30 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-11-07 | 2021-11-30 | N |
Ensure that residents are free from significant medication errors. | Health | 2021-11-07 | 2021-11-30 | 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 | 2021-11-07 | 2021-11-30 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-11-07 | 2021-11-30 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-11-07 | 2021-11-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-07 | 2021-11-30 | N |
Provide and implement an infection prevention and control program. | Health | 2021-11-07 | 2021-11-30 | N |
Implement a program that monitors antibiotic use. | Health | 2021-11-07 | 2021-11-30 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-07 | 2021-11-30 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Install resident room doors of proper design and width. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Construct fire resistant interior walls. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-10-31 | 2019-12-05 | N |
Have exits that are accessible at all times. | Fire Safety | 2019-10-31 | 2019-12-05 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-31 | 2019-12-05 | N |
Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2019-10-31 | 2019-12-05 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-31 | 2019-12-05 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-31 | 2019-12-05 | 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 | 2019-10-27 | 2019-11-26 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-27 | 2019-11-26 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-27 | 2019-11-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-27 | 2019-11-26 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-27 | 2019-11-26 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-27 | 2019-11-26 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-27 | 2019-11-26 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-27 | 2019-11-26 | 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 | 2019-10-27 | 2019-11-26 | 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 | 2019-10-27 | 2019-11-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-27 | 2019-11-26 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-27 | 2019-11-26 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-27 | 2019-11-26 | N |
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