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Deficiency Records for Frederick Villa Healthcare

A list of the most recent deficiencies for Frederick Villa Healthcare. 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 Frederick Villa Healthcare. 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?
Conduct testing and exercise requirements. Fire Safety 2023-04-12 2023-07-05 N
Meet other general requirements. Fire Safety 2023-04-12 2023-07-05 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-04-12 2023-07-05 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 2023-04-12 2023-07-05 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 2023-04-12 2023-07-05 N
Provide properly protected cooking facilities. Fire Safety 2023-04-12 2023-07-05 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2023-04-12 2023-07-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-12 2023-07-05 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-04-12 2023-07-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-04-12 2023-07-05 N
Meet other general requirements that are deficient. Fire Safety 2023-04-12 2023-07-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-04-12 2023-07-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-04-12 2023-07-05 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-04-12 2023-07-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-12 2023-07-05 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-04-12 2023-07-05 N
Have proper medical gas storage and administration areas. Fire Safety 2023-04-12 2023-07-05 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-04-13 2023-06-12 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 2023-04-13 2023-06-12 N
Ensure each resident receives an accurate assessment. Health 2023-04-13 2023-06-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-13 2023-06-12 N
Post nurse staffing information every day. Health 2023-04-13 2023-06-12 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-04-13 2023-06-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-13 2023-06-12 N
Dispose of garbage and refuse properly. Health 2023-04-13 2023-06-12 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-04-13 2023-06-12 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-04-13 2023-06-12 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 2023-04-13 2023-06-12 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-04-13 2023-06-12 Y
Ensure each resident receives an accurate assessment. Health 2022-12-13 2023-01-18 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-13 2023-01-18 Y
Provide appropriate foot care. Health 2022-12-13 2023-01-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-13 2023-01-18 Y
Hire a qualified full-time social worker in a facility with more than 120 beds. Health 2022-12-13 2023-01-18 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 2019-05-28 2019-07-11 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-05-28 2019-07-11 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 2019-05-28 2019-07-11 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-05-28 2019-07-11 N
Ensure each resident receives an accurate assessment. Health 2019-05-28 2019-07-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-05-28 2019-07-11 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 2019-05-28 2019-07-11 N
Provide activities to meet all resident's needs. Health 2019-05-28 2019-07-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-05-28 2019-07-11 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2019-05-28 2019-07-11 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-05-28 2019-07-11 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2019-05-28 2019-07-11 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 2019-05-28 2019-07-11 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-05-28 2019-07-11 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 2019-05-28 2019-07-11 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2019-05-28 2019-07-11 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-05-28 2019-07-11 N
Meet other general requirements that are deficient. Fire Safety 2019-05-20 2019-06-14 N
Provide properly protected cooking facilities. Fire Safety 2019-05-20 2019-06-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-05-20 2019-06-14 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2019-05-20 2019-06-14 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2019-05-20 2019-06-14 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-02-26 2018-04-06 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 2018-02-26 2018-04-06 N
Have exits that are accessible at all times. Fire Safety 2018-02-26 2018-04-06 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 2018-02-26 2018-04-06 N
Provide properly protected cooking facilities. Fire Safety 2018-02-26 2018-04-06 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-02-26 2018-04-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-02-26 2018-04-06 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2017-12-21 2018-01-29 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 2017-12-21 2018-01-29 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2017-12-21 2018-01-29 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2017-12-21 2018-01-29 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2017-12-21 2018-01-29 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 2017-12-21 2018-01-29 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2017-12-21 2018-01-29 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2017-12-21 2018-01-29 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2017-12-21 2018-01-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2017-12-21 2018-01-29 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 2017-12-21 2018-01-29 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2017-12-21 2018-01-29 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2017-12-21 2018-01-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2017-12-21 2018-01-29 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2017-12-21 2018-01-29 N
Observe each nurse aide's job performance and give regular training. Health 2017-12-21 2018-01-29 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2017-12-21 2018-01-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2017-12-21 2018-01-29 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 2017-12-21 2018-01-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2017-12-21 2018-01-29 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2017-12-21 2018-01-29 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2017-12-21 2018-01-29 N

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