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Deficiency Records for The Villa at Great Lakes Crossing
A list of the most recent deficiencies for The Villa at Great Lakes Crossing. 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 Great Lakes Crossing. 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 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 | 2024-06-18 | 2024-07-15 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-28 | 2024-04-24 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-03-28 | 2024-04-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-28 | 2024-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-28 | 2024-04-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-28 | 2024-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-28 | 2024-04-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-01 | 2024-04-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-01 | 2024-04-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-01 | 2024-04-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-01 | 2024-04-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-14 | 2024-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-14 | 2024-01-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-15 | 2023-07-12 | 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 | 2023-06-15 | 2023-07-12 | 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 | 2023-06-15 | 2023-07-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-06-15 | 2023-07-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-15 | 2023-07-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-15 | 2023-07-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-11 | 2022-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-11 | 2022-04-01 | 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 | 2022-03-11 | 2022-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-11 | 2022-04-01 | N |
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