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Deficiency Records for Snf-The Villa at Marymount

A list of the most recent deficiencies for Snf-The Villa at Marymount. 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 Snf-The Villa at Marymount. 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?
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-20 2024-03-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-20 2024-03-24 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-20 2024-03-24 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 2023-11-30 2023-12-05 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 2023-11-08 2023-12-05 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-11-30 2023-12-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-30 2023-12-05 N
Provide and implement an infection prevention and control program. Health 2023-11-30 2023-12-05 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-11-28 2023-12-05 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 2023-11-28 2023-12-05 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-11-28 2023-12-05 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-11-28 2023-12-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-28 2023-12-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-11-28 2023-12-05 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-11-28 2023-12-05 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-11-28 2023-12-05 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2023-11-28 2023-12-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-28 2023-12-05 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-11-08 2023-11-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-08 2023-11-30 Y
Ensure medication error rates are not 5 percent or greater. Health 2022-07-11 2022-07-22 Y
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 2022-07-11 2022-07-22 Y
Install noncombustible or limited-combustible interior walls. Fire Safety 2021-06-09 2021-09-20 N
Have an enclosure around a vertical opening shaft. Fire Safety 2021-06-09 2021-09-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-06-04 2021-07-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-04 2021-07-20 N
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Fire Safety 2021-06-09 2021-07-20 N
Use approved construction type or materials. Fire Safety 2021-06-09 2021-07-20 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 2021-06-09 2021-07-20 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2021-06-09 2021-07-20 N
Have exits that are accessible at all times. Fire Safety 2021-06-09 2021-07-20 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2021-06-09 2021-07-20 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2021-06-09 2021-07-20 N
Install an approved automatic sprinkler system. Fire Safety 2021-06-09 2021-07-20 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-06-09 2021-07-20 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-06-09 2021-07-20 N
Have enough space near smoke barriers to protect residents. Fire Safety 2021-06-09 2021-07-20 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-06-09 2021-07-20 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-06-09 2021-07-20 N
Have restrictions on the use of portable space heaters. Fire Safety 2021-06-09 2021-07-20 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2021-06-09 2021-07-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-06-09 2021-07-20 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2021-06-09 2021-07-20 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-01-16 2019-08-01 N
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. Fire Safety 2019-01-16 2019-08-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-01-16 2019-08-01 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2019-01-16 2019-03-08 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2019-01-16 2019-03-08 N
Install an approved automatic sprinkler system. Fire Safety 2019-01-16 2019-03-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-01-16 2019-03-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-01-16 2019-03-08 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2019-01-16 2019-03-08 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-01-16 2019-03-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-01-16 2019-03-08 N

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