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Deficiency Records for The Villa at Green Lake Estates
A list of the most recent deficiencies for The Villa at Green Lake Estates. 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 Green Lake Estates. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-05 | 2024-07-01 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-08 | 2024-06-14 | N |
| Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | Health | 2024-05-08 | 2024-06-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-05-08 | 2024-06-14 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-05-08 | 2024-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-06-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-05-08 | 2024-06-14 | 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 | 2024-05-08 | 2024-06-14 | 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 | 2024-05-08 | 2024-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-08 | 2024-06-14 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-05-08 | 2024-06-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-08 | 2024-06-14 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-05-08 | 2024-06-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-08 | 2024-06-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-08 | 2024-06-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-08 | 2024-06-14 | Y |
| 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 | 2024-05-08 | 2024-06-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-08 | 2024-06-14 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-12-21 | 2024-01-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-21 | 2024-01-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-21 | 2024-01-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-10 | 2023-10-27 | 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 | 2023-05-11 | 2023-06-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-11 | 2023-06-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-11 | 2023-06-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-11 | 2023-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-11 | 2023-06-02 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-05-11 | 2023-06-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-03-16 | 2022-04-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-16 | 2022-04-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-16 | 2022-04-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-16 | 2022-04-08 | 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 | 2022-03-16 | 2022-04-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-16 | 2022-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-16 | 2022-04-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-29 | 2022-01-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-29 | 2022-01-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-29 | 2022-01-28 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-29 | 2022-01-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-10-14 | 2021-11-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-14 | 2021-11-08 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-10-14 | 2021-11-08 | Y |
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