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Deficiency Records for Villa Maria West Skilled Nursing Facility

A list of the most recent deficiencies for Villa Maria West Skilled Nursing Facility. 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 West Skilled Nursing Facility. 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?
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-05-15 2024-06-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-15 2024-06-15 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-05-15 2024-06-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-05-15 2024-06-15 N
Provide and implement an infection prevention and control program. Health 2024-05-15 2024-06-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-17 2024-06-15 N
Provide activities to meet all resident's needs. Health 2022-12-29 2023-01-26 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-12-29 2023-01-26 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 2022-12-29 2023-01-26 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-07-29 2021-08-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-29 2021-08-29 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-07-29 2021-08-29 N

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