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Deficiency Records for The Village Healthcare Center
A list of the most recent deficiencies for The Village 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 The Village 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-05-23 | 2024-06-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-23 | 2024-06-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-23 | 2024-06-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-23 | 2024-06-13 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-05-23 | 2024-06-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-23 | 2024-06-13 | 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 | 2024-05-23 | 2024-06-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-23 | 2024-06-13 | 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 | 2024-05-23 | 2024-06-13 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-05-23 | 2024-06-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-05-23 | 2024-06-13 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-05-23 | 2024-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-23 | 2024-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-06-13 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-05-29 | 2024-06-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-05-29 | 2024-06-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-05-29 | 2024-06-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-05-29 | 2024-06-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-29 | 2024-06-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-29 | 2024-06-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-29 | 2024-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-29 | 2024-06-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-29 | 2024-06-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-29 | 2024-06-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-29 | 2024-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-27 | 2024-04-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-27 | 2024-04-10 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2023-09-15 | 2023-09-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-27 | 2023-06-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-16 | 2023-06-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-29 | 2023-05-12 | Y |
| 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 | 2022-01-14 | 2022-02-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-01-14 | 2022-02-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-14 | 2022-02-28 | 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 | 2022-01-14 | 2022-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-14 | 2022-02-28 | N |
| Dispose of garbage and refuse properly. | Health | 2022-01-14 | 2022-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-02-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-01-19 | 2022-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-19 | 2022-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-19 | 2022-01-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-12-21 | 2021-12-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-21 | 2021-12-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-23 | 2021-12-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-23 | 2021-12-20 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-31 | 2019-08-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-31 | 2019-08-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-31 | 2019-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-31 | 2019-08-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-07-31 | 2019-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-31 | 2019-08-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-31 | 2019-08-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-31 | 2019-08-16 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2019-07-31 | 2019-08-16 | N |
| 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 | 2019-07-11 | 2019-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-11 | 2019-08-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-11 | 2019-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-07-11 | 2019-08-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-11 | 2019-08-15 | N |
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