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Deficiency Records for Victoria Gardens of Frisco
A list of the most recent deficiencies for Victoria Gardens of Frisco. 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 Victoria Gardens of Frisco. 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 each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-06-13 | 2024-07-08 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-04-17 | 2024-06-01 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-04-17 | 2024-06-01 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-04-17 | 2024-06-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-04-17 | 2024-06-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-04-17 | 2024-06-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-17 | 2024-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-17 | 2024-06-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-17 | 2024-06-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-17 | 2024-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-17 | 2024-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-17 | 2024-06-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-04-17 | 2024-05-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-18 | 2024-05-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-04-18 | 2024-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-18 | 2024-05-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-17 | 2024-05-23 | N |
| 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 | 2024-04-17 | 2024-05-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-22 | 2024-04-12 | Y |
| Provide appropriate foot care. | Health | 2023-12-16 | 2023-12-29 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-12-16 | 2023-12-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-20 | 2023-05-19 | 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 | 2023-04-20 | 2023-05-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-20 | 2023-05-19 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-06 | 2023-04-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-02 | 2023-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-02 | 2023-03-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-06 | 2023-03-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-03-06 | 2023-03-07 | 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 | 2022-02-28 | 2022-03-10 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-05 | 2022-01-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-05 | 2022-01-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-05 | 2022-01-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-01-22 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-12-06 | 2021-12-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-06 | 2021-12-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-06 | 2021-12-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-06 | 2021-12-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-09 | 2021-12-14 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-12-09 | 2021-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-09 | 2021-12-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-09 | 2021-12-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-09 | 2021-12-10 | Y |
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