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Deficiency Records for The Villas at Sunny Acres
A list of the most recent deficiencies for The Villas at Sunny Acres. 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 The Villas at Sunny Acres. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-20 | 2024-09-12 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-03-20 | 2024-05-31 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-03-20 | 2024-05-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-03-20 | 2024-05-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-20 | 2024-05-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-03-20 | 2024-05-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-20 | 2024-05-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-20 | 2024-05-31 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-03-20 | 2024-05-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-03-20 | 2024-05-31 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-11 | 2024-04-04 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2024-03-11 | 2024-04-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-11 | 2024-04-04 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-03-11 | 2024-04-04 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-03-11 | 2024-04-04 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-03-11 | 2024-04-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-11 | 2024-04-04 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-03-11 | 2024-04-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-11 | 2024-04-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-11 | 2024-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-11 | 2024-04-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-06 | 2023-04-25 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-04-06 | 2023-04-25 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-04-06 | 2023-04-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-16 | 2023-03-17 | 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 | 2023-02-16 | 2023-03-17 | 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 | 2022-12-05 | 2022-12-26 | 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 | 2022-12-05 | 2022-12-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-05 | 2022-12-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-05 | 2022-12-26 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-12-05 | 2022-12-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-12 | 2022-05-07 | Y |
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