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Deficiency Records for The Villa at City Center

A list of the most recent deficiencies for The Villa at City Center. 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 The Villa at City Center. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-08-15 2024-09-06 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-08-15 2024-09-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-31 2024-02-21 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-10-25 2023-11-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-25 2023-11-30 N
Provide activities to meet all resident's needs. Health 2023-10-25 2023-11-30 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 2023-10-25 2023-11-30 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 2023-10-25 2023-11-30 N
Provide or obtain dental services for each resident. Health 2023-10-25 2023-11-30 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-10-25 2023-11-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-25 2023-11-30 N
Provide and implement an infection prevention and control program. Health 2023-10-25 2023-11-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-10-25 2023-11-30 Y
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-10-25 2023-11-30 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-25 2023-11-30 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-25 2023-11-30 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-05-23 2023-05-31 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-02 2023-03-21 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-01-26 2023-02-17 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-16 2022-12-23 Y
The resident has the right to receive notices in a format and a language he or she understands. Health 2022-08-31 2022-10-05 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 2022-08-31 2022-10-05 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-31 2022-10-05 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-08-31 2022-10-05 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 2022-08-31 2022-10-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-31 2022-10-05 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-08-31 2022-10-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-31 2022-10-05 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 2022-08-31 2022-10-05 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 2022-08-31 2022-10-05 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-08-31 2022-10-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-08-31 2022-10-05 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-08-31 2022-10-05 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 2022-08-31 2022-10-05 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-08-31 2022-10-05 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-08-31 2022-10-05 N
Post nurse staffing information every day. Health 2022-08-31 2022-10-05 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-08-31 2022-10-05 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 2022-08-31 2022-10-05 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 2022-08-31 2022-10-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-31 2022-10-05 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-08-31 2022-10-05 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-08-10 2022-09-02 Y
Respond appropriately to all alleged violations. Health 2022-08-10 2022-09-02 Y
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2022-03-17 2022-03-25 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-03-17 2022-03-25 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-03-17 2022-03-25 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-10 2022-02-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-10 2022-02-21 Y
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 2020-01-09 2020-02-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-01-09 2020-02-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-01-09 2020-02-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-01-09 2020-02-14 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-01-09 2020-02-14 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 2020-01-09 2020-02-14 N
Post nurse staffing information every day. Health 2020-01-09 2020-02-14 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 2020-01-09 2020-02-14 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 2020-01-09 2020-02-14 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2020-01-09 2020-02-14 N
Provide and implement an infection prevention and control program. Health 2020-01-09 2020-02-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-01-09 2020-02-14 N

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