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Deficiency Records for Greenhill Villas
A list of the most recent deficiencies for Greenhill Villas. 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 Greenhill Villas. 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 special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-06-25 | 2024-06-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-25 | 2024-06-26 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-25 | 2024-06-26 | 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 | 2024-05-21 | 2024-05-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-21 | 2024-05-22 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-05-21 | 2024-05-22 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-21 | 2024-05-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-21 | 2024-05-22 | N |
Provide and implement an infection prevention and control program. | Health | 2024-05-21 | 2024-05-22 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-08 | 2024-05-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-05-09 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-22 | 2024-03-23 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-07-27 | 2023-07-28 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-07-27 | 2023-07-27 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-04-02 | 2023-04-03 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-29 | 2023-03-30 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-29 | 2023-03-30 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-29 | 2023-03-30 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-29 | 2023-03-30 | 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 | 2023-03-29 | 2023-03-30 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-29 | 2023-03-30 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-29 | 2023-03-30 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-29 | 2023-03-30 | 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 | 2023-03-29 | 2023-03-30 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-29 | 2023-03-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-29 | 2023-03-30 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-29 | 2023-03-30 | N |
Provide and implement an infection prevention and control program. | Health | 2023-03-29 | 2023-03-30 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-23 | 2022-09-24 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-10 | 2022-08-12 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-10 | 2022-08-12 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-10 | 2022-08-12 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-10 | 2022-08-12 | Y |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-05-19 | 2022-05-20 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2022-05-19 | 2022-05-20 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-19 | 2022-05-20 | Y |
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 | 2022-05-19 | 2022-05-20 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-19 | 2022-05-20 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-19 | 2022-05-20 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-02 | 2022-04-06 | Y |
Respond appropriately to all alleged violations. | Health | 2022-03-02 | 2022-04-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-02 | 2022-04-06 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-02 | 2022-04-06 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-02 | 2022-03-03 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-21 | 2022-01-30 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-21 | 2022-01-30 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-21 | 2022-01-30 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-21 | 2022-01-30 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-21 | 2022-01-30 | Y |
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-01-07 | 2022-01-30 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-07 | 2022-01-30 | 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 | 2022-01-07 | 2022-01-30 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-01-07 | 2022-01-30 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-07 | 2022-01-30 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-07 | 2022-01-30 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-07 | 2022-01-30 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-07 | 2022-01-30 | Y |
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 | 2022-01-06 | 2022-01-30 | N |
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