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Deficiency Records for Villa Georgetown Rehabilitation and Healthcare Cen
A list of the most recent deficiencies for Villa Georgetown Rehabilitation and Healthcare Cen. 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 Villa Georgetown Rehabilitation and Healthcare Cen. 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? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-27 | 2024-07-19 | 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 | 2024-06-27 | 2024-07-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-07 | 2023-03-22 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2022-06-22 | 2022-07-01 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-07-22 | 2021-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-22 | 2021-08-15 | 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 | 2021-07-22 | 2021-08-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-22 | 2021-08-15 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-07-22 | 2021-08-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-22 | 2021-08-15 | N |
| Keep all essential equipment working safely. | Health | 2021-07-22 | 2021-08-15 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-07-20 | 2021-08-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-20 | 2021-08-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-20 | 2021-08-15 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-03-12 | 2020-03-20 | 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 | 2020-03-12 | 2020-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-12 | 2020-03-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-12 | 2020-03-20 | 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 | 2020-03-12 | 2020-03-20 | N |
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