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Deficiency Records for The Villages On Macarthur
A list of the most recent deficiencies for The Villages On Macarthur. 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 Villages On Macarthur. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-13 | 2024-09-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-06 | 2024-06-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-06 | 2024-06-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-06 | 2024-06-14 | 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 | 2024-06-06 | 2024-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-06 | 2024-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-06-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-06 | 2024-06-14 | N |
| 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 | 2024-06-06 | 2024-06-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-10 | 2024-02-02 | Y |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-04-27 | 2023-05-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-27 | 2023-05-05 | 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 | 2023-04-27 | 2023-05-05 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-03-06 | 2023-03-10 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-03-06 | 2023-03-10 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-03-06 | 2023-03-10 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-03-06 | 2023-03-10 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-03-06 | 2023-03-10 | 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 | 2023-03-06 | 2023-03-10 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-03-06 | 2023-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-10 | 2022-11-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-06 | 2022-07-22 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-10 | 2022-02-25 | N |
| 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 | 2022-02-10 | 2022-02-25 | 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 | 2022-02-10 | 2022-02-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-10 | 2022-02-25 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-02-10 | 2022-02-25 | N |
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