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Deficiency Records for Park Villa
A list of the most recent deficiencies for Park Villa. 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 Park Villa. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-31 | 2023-07-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-31 | 2023-07-04 | Y |
| 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 | 2022-08-10 | 2022-08-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-10 | 2022-08-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-10 | 2022-08-15 | 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 | 2022-07-06 | 2022-08-11 | 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 | 2022-07-06 | 2022-08-11 | 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 | 2022-07-06 | 2022-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-06 | 2022-08-11 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-07-06 | 2022-08-11 | N |
| Post nurse staffing information every day. | Health | 2022-07-06 | 2022-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-06 | 2022-08-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-02-04 | 2021-02-26 | 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 | 2021-02-04 | 2021-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-04 | 2021-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-04 | 2021-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-04 | 2021-02-26 | 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 | 2021-01-13 | 2021-02-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-13 | 2021-02-12 | 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 | 2021-01-13 | 2021-02-12 | 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 | 2021-01-13 | 2021-02-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-01-13 | 2021-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-01-13 | 2021-02-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-01-13 | 2021-02-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-02-04 | 2021-02-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-18 | 2019-07-18 | 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 | 2019-06-18 | 2019-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-05 | 2019-07-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-05 | 2019-07-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-06-05 | 2019-07-06 | 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 | 2019-06-05 | 2019-07-06 | 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 | 2019-06-05 | 2019-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-05 | 2019-07-06 | N |
| Keep all essential equipment working safely. | Health | 2019-06-05 | 2019-07-06 | N |
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