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Deficiency Records for Villa Maria Nursing Center
A list of the most recent deficiencies for Villa Maria Nursing 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 Maria Nursing 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 | 2024-03-15 | 2024-04-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-03-15 | 2024-04-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-15 | 2024-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-15 | 2024-04-21 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-03-15 | 2024-04-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-15 | 2024-04-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-03-13 | 2024-04-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-03-13 | 2024-04-21 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-03-13 | 2024-04-21 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-03-13 | 2024-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-13 | 2024-04-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-03-13 | 2024-04-21 | 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 | 2022-12-01 | 2023-01-01 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-01 | 2023-01-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-01 | 2023-01-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-01 | 2023-01-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2023-01-01 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2022-12-01 | 2023-01-01 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2022-12-01 | 2023-01-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2023-01-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-29 | 2023-01-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-29 | 2023-01-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-29 | 2023-01-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-29 | 2023-01-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-12-18 | 2021-01-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-12-18 | 2021-01-23 | 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 | 2020-12-18 | 2021-01-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-12-18 | 2021-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-12-18 | 2021-01-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-12-18 | 2021-01-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-12-18 | 2021-01-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-18 | 2021-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-12-18 | 2021-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-18 | 2021-01-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-12-17 | 2021-01-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-12-17 | 2021-01-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-12-17 | 2021-01-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-12-17 | 2021-01-23 | N |
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