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Deficiency Records for The Villas at Poway

A list of the most recent deficiencies for The Villas at Poway. 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 Poway. 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 appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-06 2024-02-23 Y
Provide and implement an infection prevention and control program. Health 2023-12-28 2024-01-16 Y
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2023-09-18 2023-09-30 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-03-23 2023-05-15 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-03-23 2023-05-15 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-03-23 2023-05-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-03-23 2023-05-15 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 2023-03-23 2023-05-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-23 2023-05-15 N
Provide enough food/fluids to maintain a resident's health. Health 2023-03-23 2023-05-15 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-03-23 2023-05-15 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 2023-03-23 2023-05-15 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-03-23 2023-05-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-23 2023-05-15 N
Dispose of garbage and refuse properly. Health 2023-03-23 2023-05-15 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-03-23 2023-05-15 N
Provide and implement an infection prevention and control program. Health 2023-03-23 2023-05-15 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-03-23 2023-05-15 N
Keep all essential equipment working safely. Health 2023-03-23 2023-05-15 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-03-23 2023-05-15 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-03-28 2023-04-19 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2023-03-28 2023-04-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-28 2023-04-19 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-03-28 2023-04-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-28 2023-04-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-28 2023-04-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-03-28 2023-04-19 N
Have proper medical gas storage and administration areas. Fire Safety 2023-03-28 2023-04-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-02-05 2020-02-26 N
Have power receptacles that are properly grounded. Fire Safety 2020-02-05 2020-02-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-02-05 2020-02-26 N
Have proper medical gas storage and administration areas. Fire Safety 2020-02-05 2020-02-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-01-30 2020-02-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-01-30 2020-02-24 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 2020-01-30 2020-02-24 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2020-01-30 2020-02-24 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 2020-01-30 2020-02-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-01-30 2020-02-24 N
Address subsistence needs for staff and patients. Fire Safety 2019-01-16 2019-02-27 N
Use approved construction type or materials. Fire Safety 2019-01-16 2019-02-27 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 2019-01-16 2019-02-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-01-16 2019-02-27 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-01-16 2019-02-27 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-12-14 2019-01-31 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-12-14 2019-01-31 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2018-12-14 2019-01-31 N
Provide and implement an infection prevention and control program. Health 2018-12-14 2019-01-31 N

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