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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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