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Deficiency Records for Village Square Healthcare Center

A list of the most recent deficiencies for Village Square 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 Village Square 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?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-12 2024-04-18 Y
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2023-11-03 2023-11-21 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-06-27 2023-07-17 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-07-29 2022-08-31 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 2022-07-29 2022-08-31 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-29 2022-08-31 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-29 2022-08-31 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-07-29 2022-08-31 N
Post nurse staffing information every day. Health 2022-07-29 2022-08-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-07-29 2022-08-31 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-07-29 2022-08-31 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 2022-07-29 2022-08-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-29 2022-08-31 N
Provide and implement an infection prevention and control program. Health 2022-07-29 2022-08-31 N
Provide emergency officials' contact information. Fire Safety 2022-08-02 2022-08-26 N
Establish emergency prep training and testing. Fire Safety 2022-08-02 2022-08-26 N
Establish staff and initial training requirements. Fire Safety 2022-08-02 2022-08-26 N
Use approved construction type or materials. Fire Safety 2022-08-02 2022-08-26 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 2022-08-02 2022-08-26 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-08-02 2022-08-26 N
Provide properly protected cooking facilities. Fire Safety 2022-08-02 2022-08-26 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-08-02 2022-08-26 N
Install an approved automatic sprinkler system. Fire Safety 2022-08-02 2022-08-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-02 2022-08-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-08-02 2022-08-26 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-08-02 2022-08-26 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-08-02 2022-08-26 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-08-02 2022-08-26 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-08-02 2022-08-26 N
Have power receptacles that are properly grounded. Fire Safety 2022-08-02 2022-08-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-08-02 2022-08-26 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-08-02 2022-08-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-08-02 2022-08-26 N
Respond appropriately to all alleged violations. Health 2022-07-21 2022-08-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-14 2022-07-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-12 2022-06-12 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-05-11 2022-06-03 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-04-18 2022-05-05 Y
Provide and implement an infection prevention and control program. Health 2022-01-12 2022-02-27 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 2021-11-02 2021-12-14 Y
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 2019-04-08 2019-05-09 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-04-08 2019-05-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-08 2019-05-09 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-04-08 2019-05-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-04-08 2019-05-09 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-02-14 2019-04-25 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2019-02-14 2019-04-25 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-02-14 2019-04-25 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 2019-02-14 2019-04-25 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-02-14 2019-04-25 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-02-14 2019-04-25 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 2019-02-14 2019-04-25 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-02-14 2019-04-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-02-14 2019-04-25 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-02-14 2019-04-25 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-02-14 2019-04-25 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 2019-02-14 2019-04-25 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2019-02-14 2019-04-25 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2019-02-14 2019-04-25 N
Provide and implement an infection prevention and control program. Health 2019-02-14 2019-04-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-02-14 2019-02-14 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2019-02-14 2019-02-14 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2018-03-01 2018-04-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-03-01 2018-04-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-03-01 2018-04-16 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-03-01 2018-04-16 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-03-01 2018-04-16 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 2018-03-01 2018-04-16 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 2018-03-01 2018-04-16 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2018-03-01 2018-04-16 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 2018-03-01 2018-04-16 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2018-03-01 2018-04-16 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2018-03-01 2018-04-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-03-01 2018-04-16 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2018-03-01 2018-04-16 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2018-03-01 2018-04-16 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2018-03-01 2018-04-16 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2018-03-21 2018-04-12 N
Develop a communication plan. Fire Safety 2018-03-21 2018-04-12 N
Establish emergency prep training and testing. Fire Safety 2018-03-21 2018-04-12 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-03-21 2018-04-12 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2018-03-21 2018-04-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-03-21 2018-04-12 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2018-03-21 2018-04-12 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2018-03-21 2018-04-12 N

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