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Deficiency Records for Bay Villa Healthcare Center
A list of the most recent deficiencies for Bay Villa Healthcare Center. 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 Bay Villa Healthcare Center. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-20 | 2024-06-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-20 | 2024-06-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-28 | 2024-04-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-28 | 2024-04-20 | 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 | 2024-03-28 | 2024-04-20 | 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 | 2024-03-28 | 2024-04-20 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-03-28 | 2024-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-28 | 2024-04-20 | Y |
| 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 | 2024-03-28 | 2024-04-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-28 | 2024-04-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-28 | 2024-04-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-28 | 2024-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-28 | 2024-04-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-28 | 2024-04-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-28 | 2024-04-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-28 | 2024-04-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-28 | 2024-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-28 | 2024-04-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-12 | 2024-01-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-01-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-03 | 2023-08-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-03 | 2023-08-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-03 | 2023-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-03 | 2023-08-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-09 | 2023-03-09 | 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 | 2023-02-09 | 2023-03-09 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-02-09 | 2023-03-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-09 | 2023-03-09 | 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 | 2023-02-09 | 2023-03-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-09 | 2023-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-09 | 2023-03-09 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-07 | 2023-02-08 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-11-02 | 2021-12-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-02 | 2021-11-23 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-11-02 | 2021-11-23 | 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 | 2021-11-02 | 2021-11-23 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-11-02 | 2021-11-23 | Y |
| Install proper backup exit lighting. | Fire Safety | 2021-11-01 | 2021-11-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-01 | 2021-11-04 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-11-01 | 2021-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-01 | 2021-11-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-01 | 2021-11-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-01 | 2021-11-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-11-01 | 2021-11-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-11-02 | 2021-11-03 | Y |
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