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Deficiency Records for Westland, A Villa Center
A list of the most recent deficiencies for Westland, A Villa 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 Westland, A Villa 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? |
|---|---|---|---|---|
| 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 | 2024-06-06 | 2024-06-21 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-04 | 2024-04-23 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-04-04 | 2024-04-23 | Y |
| 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 | 2024-02-08 | 2024-03-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-08 | 2024-03-11 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-02-08 | 2024-03-11 | 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 | 2024-02-08 | 2024-03-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-08 | 2024-03-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-08 | 2024-03-11 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-02-08 | 2024-03-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-08 | 2024-03-11 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-08 | 2024-03-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-08 | 2024-03-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-08 | 2024-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-08 | 2024-03-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-08 | 2024-03-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-02-08 | 2024-03-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-08 | 2024-03-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-08 | 2024-03-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-22 | 2023-04-12 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-11-03 | 2022-12-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-03 | 2022-12-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-11-03 | 2022-12-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-03 | 2022-12-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-03 | 2022-12-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-11-03 | 2022-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-03 | 2022-12-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-03 | 2022-12-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-11-03 | 2022-12-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-03 | 2022-12-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-03 | 2022-12-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-03 | 2022-12-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-03 | 2022-12-16 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| 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 | 2022-11-03 | 2022-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-25 | 2022-09-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-25 | 2022-09-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-21 | 2022-05-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-21 | 2022-05-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-02 | 2022-03-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-02 | 2022-03-14 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-01-03 | 2022-01-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-06 | 2021-12-17 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2021-12-06 | 2021-12-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-06 | 2021-12-17 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-12-06 | 2021-12-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-28 | 2020-02-25 | 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 | 2020-01-28 | 2020-02-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-28 | 2020-02-25 | 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 | 2020-01-28 | 2020-02-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-28 | 2020-02-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-28 | 2020-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-28 | 2020-02-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-28 | 2020-02-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-28 | 2020-02-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-28 | 2020-02-25 | 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 | 2020-01-28 | 2020-02-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-28 | 2020-02-25 | 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 | 2020-01-28 | 2020-02-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-28 | 2020-02-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-01-28 | 2020-02-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-28 | 2020-02-25 | 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 | 2020-01-28 | 2020-02-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-28 | 2020-02-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2020-01-28 | 2020-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-28 | 2020-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-28 | 2020-02-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-28 | 2020-02-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-01-28 | 2020-02-25 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-01-27 | 2020-02-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-27 | 2020-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-27 | 2020-02-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-27 | 2020-02-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-27 | 2020-02-25 | N |
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