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Deficiency Records for Victoria Haven Nursing Facility

A list of the most recent deficiencies for Victoria Haven 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 Victoria Haven 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?
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 2024-02-29 2024-04-08 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-29 2024-04-02 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-02-29 2024-04-02 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 2024-02-29 2024-04-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-29 2024-04-02 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-02-29 2024-04-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-29 2024-04-02 N
Ensure medication error rates are not 5 percent or greater. Health 2024-02-29 2024-04-02 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2024-02-29 2024-04-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-02-29 2024-04-02 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-02-29 2024-04-02 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2024-02-29 2024-04-02 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2022-10-21 2022-11-18 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 2022-10-21 2022-11-18 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-10-21 2022-11-18 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2022-10-21 2022-11-18 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2022-10-21 2022-11-18 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2022-10-21 2022-11-18 N
Provide and implement an infection prevention and control program. Health 2022-10-21 2022-11-18 N
Report COVID19 data to residents and families. Health 2022-10-21 2022-11-18 N
Perform COVID19 testing on residents and staff. Health 2022-10-21 2022-11-18 N
Give the resident's representative the ability to exercise the resident's rights. Health 2019-10-03 2019-10-11 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-10-03 2019-10-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-03 2019-10-11 N

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