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Deficiency Records for The Villas at The Park
A list of the most recent deficiencies for The Villas at The Park. 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 Villas at The Park. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-10-24 | 2024-11-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-10-24 | 2024-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-24 | 2024-11-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-24 | 2024-11-20 | 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 | 2024-10-24 | 2024-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-24 | 2024-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-24 | 2024-11-20 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-10-24 | 2024-11-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-10-22 | 2024-11-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-22 | 2024-11-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-22 | 2024-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-22 | 2024-11-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-09 | 2024-01-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-09 | 2024-01-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-09 | 2024-01-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2024-01-09 | 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 | 2023-11-09 | 2024-01-09 | N |
| Provide or obtain dental services for each resident. | Health | 2023-11-09 | 2024-01-09 | 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 | 2023-11-09 | 2024-01-09 | N |
| Keep all essential equipment working safely. | Health | 2023-11-09 | 2024-01-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-09 | 2024-01-09 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-09 | 2024-01-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-09 | 2024-01-09 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-11-09 | 2024-01-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2024-01-09 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-09 | 2024-01-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-08 | 2024-01-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-08 | 2024-01-09 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-11-08 | 2024-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-08 | 2024-01-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-05 | 2023-06-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-26 | 2023-03-21 | 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 | 2023-01-26 | 2023-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-03-21 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-01-26 | 2023-03-21 | 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 | 2023-01-26 | 2023-03-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-01-26 | 2023-03-21 | 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 | 2023-01-26 | 2023-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-26 | 2023-03-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-26 | 2023-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-26 | 2023-03-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-26 | 2023-03-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-26 | 2023-03-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-24 | 2023-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-24 | 2023-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-24 | 2022-09-12 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-08-11 | 2022-09-12 | Y |
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