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Deficiency Records for Villa Health Care Center

A list of the most recent deficiencies for Villa Health Care 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 Villa Health Care 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-08-28 2024-09-19 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-08-28 2024-09-19 Y
Provide and implement an infection prevention and control program. Health 2024-08-06 2024-08-27 Y
Ensure medication error rates are not 5 percent or greater. Health 2024-04-12 2024-05-03 N
Ensure that residents are free from significant medication errors. Health 2024-04-12 2024-05-03 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-04-12 2024-05-03 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-04-12 2024-05-02 N
Ensure each resident receives an accurate assessment. Health 2024-04-12 2024-05-01 N
Establish policies and procedures for volunteers. Fire Safety 2024-04-18 2024-04-22 N
Establish roles under a Waiver declared by secretary. Fire Safety 2024-04-18 2024-04-22 N
Provide family notifications of emergency plan. Fire Safety 2024-04-18 2024-04-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-04-18 2024-04-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-04-18 2024-04-22 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-04-04 2024-04-09 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-02-29 2024-03-11 Y
Provide and implement an infection prevention and control program. Health 2024-02-29 2024-03-11 Y
Report COVID19 data to residents and families. Health 2024-02-29 2024-03-11 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2024-02-06 2024-02-14 Y
Keep residents' personal and medical records private and confidential. Health 2023-06-26 2023-07-14 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-06-26 2023-07-14 Y
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 2022-10-03 2022-10-11 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2021-07-13 2021-08-25 N
Create arrangements with other facilities to receive patients. Fire Safety 2021-07-13 2021-08-25 N
Provide emergency officials' contact information. Fire Safety 2021-07-13 2021-08-25 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2021-07-13 2021-08-25 N
Provide properly protected cooking facilities. Fire Safety 2021-07-13 2021-08-25 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-07-13 2021-08-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-07-13 2021-08-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-07-13 2021-08-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-07-13 2021-08-25 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-07-13 2021-08-25 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-07-13 2021-08-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-07-13 2021-08-25 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-07-02 2021-07-26 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-07-02 2021-07-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-07-02 2021-07-26 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 2021-07-02 2021-07-26 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-07-02 2021-07-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-02 2021-07-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-02 2021-07-26 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2021-07-02 2021-07-26 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-07-02 2021-07-26 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 2021-07-02 2021-07-26 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 2021-07-02 2021-07-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-02 2021-07-26 N
Provide and implement an infection prevention and control program. Health 2021-07-02 2021-07-26 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2021-07-02 2021-07-26 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2019-10-17 2019-11-04 N
Provide primary/alternate means for communication. Fire Safety 2019-10-17 2019-11-04 N
Conduct testing and exercise requirements. Fire Safety 2019-10-17 2019-11-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-10-17 2019-11-04 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-10-17 2019-11-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-10-17 2019-11-04 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2019-09-19 2019-10-14 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2019-09-19 2019-10-14 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 2019-09-19 2019-10-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-09-19 2019-10-14 N
Provide enough food/fluids to maintain a resident's health. Health 2019-09-19 2019-10-14 N
Ensure that residents are free from significant medication errors. Health 2019-09-19 2019-10-14 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2019-09-19 2019-10-14 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-09-19 2019-10-14 N

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