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Deficiency Records for Patriot Village

A list of the most recent deficiencies for Patriot Village. 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 Patriot Village. 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 each resident receives an accurate assessment. Health 2024-02-29 2024-04-16 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-02-29 2024-04-16 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 2024-02-29 2024-04-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-29 2024-04-16 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-29 2024-04-16 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 2024-02-29 2024-04-16 N
Ensure that residents are free from significant medication errors. Health 2024-02-29 2024-04-16 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 2024-02-29 2024-04-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-29 2024-04-16 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-02-29 2024-04-16 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-02-29 2024-04-16 N
Implement emergency and standby power systems. Fire Safety 2024-03-12 2024-04-16 N
Have an enclosure around a vertical opening shaft. Fire Safety 2024-03-12 2024-04-16 N
Provide properly protected cooking facilities. Fire Safety 2024-03-12 2024-04-16 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2024-03-12 2024-04-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-12 2024-04-16 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-03-12 2024-04-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-03-12 2024-04-16 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-03-12 2024-04-16 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-03-12 2024-04-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-03-12 2024-04-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-03-12 2024-04-16 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-11-08 2023-11-29 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-11-08 2023-11-29 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-20 2023-11-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-20 2023-11-29 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-10-20 2023-11-29 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-08 2023-11-02 Y
Conduct testing and exercise requirements. Fire Safety 2023-03-07 2023-04-17 N
Implement emergency and standby power systems. Fire Safety 2023-03-07 2023-04-17 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-03-07 2023-04-17 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-03-07 2023-04-17 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-03-07 2023-04-17 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-03-07 2023-04-17 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 2023-03-07 2023-04-17 N
Provide properly protected cooking facilities. Fire Safety 2023-03-07 2023-04-17 N
Install an approved automatic sprinkler system. Fire Safety 2023-03-07 2023-04-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-07 2023-04-17 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-03-07 2023-04-17 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-03-07 2023-04-17 N
Have power receptacles that are properly grounded. Fire Safety 2023-03-07 2023-04-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-07 2023-04-17 N
Provide enough food/fluids to maintain a resident's health. Health 2023-03-22 2023-04-10 Y
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2023-03-22 2023-04-10 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-03-02 2023-04-10 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-03-02 2023-04-10 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-03-02 2023-04-10 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-03-02 2023-04-10 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-03-02 2023-04-10 N
Ensure each resident receives an accurate assessment. Health 2023-03-02 2023-04-10 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 2023-03-02 2023-04-10 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-03-02 2023-04-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-02 2023-04-10 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 2023-03-02 2023-04-10 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2023-03-02 2023-04-10 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-03-02 2023-04-10 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-03-02 2023-04-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-02 2023-04-10 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-03-02 2023-04-10 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-03-02 2023-04-10 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-03-02 2023-04-10 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-03-02 2023-04-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-30 2022-11-09 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-09-30 2022-11-09 Y
Address subsistence needs for staff and patients. Fire Safety 2022-04-18 2022-06-13 N
List the names and contact information of those in the facility. Fire Safety 2022-04-18 2022-06-13 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-04-18 2022-06-13 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-04-18 2022-06-13 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-04-18 2022-06-13 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-04-18 2022-06-13 N
Provide properly protected cooking facilities. Fire Safety 2022-04-18 2022-06-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-18 2022-06-13 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-04-18 2022-06-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-04-18 2022-06-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-04-18 2022-06-13 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-04-16 2022-06-01 N
Ensure each resident receives an accurate assessment. Health 2022-04-16 2022-06-01 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 2022-04-16 2022-06-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-04-16 2022-06-01 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-04-16 2022-06-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-16 2022-03-21 Y

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