A list of the most recent deficiencies for Springdale Village Healthcare. 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? |
|---|---|---|---|---|
| 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 | 2022-12-15 | 2023-01-26 | 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 | 2022-12-15 | 2023-01-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-01-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-15 | 2023-01-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-15 | 2023-01-26 | 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 | 2022-12-15 | 2023-01-26 | N |
| Post nurse staffing information every day. | Health | 2022-12-15 | 2023-01-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-15 | 2023-01-26 | 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 | 2022-12-15 | 2023-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-15 | 2023-01-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-15 | 2023-01-26 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-30 | 2021-10-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-30 | 2021-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-30 | 2021-10-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-09-30 | 2021-10-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-30 | 2021-10-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-30 | 2021-10-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-30 | 2021-10-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-28 | 2019-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-28 | 2019-10-16 | 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 | 2019-06-28 | 2019-10-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-28 | 2019-09-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-06-28 | 2019-09-13 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-28 | 2019-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-28 | 2019-09-13 | 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 | 2019-06-28 | 2019-09-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-28 | 2019-09-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-28 | 2019-09-13 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-06-28 | 2019-09-13 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-06-28 | 2019-09-13 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-28 | 2019-09-13 | N |
| Post nurse staffing information every day. | Health | 2019-06-28 | 2019-09-13 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-06-28 | 2019-09-13 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-06-28 | 2019-09-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-28 | 2019-09-13 | 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 | 2019-06-28 | 2019-09-13 | 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 | 2019-06-28 | 2019-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-28 | 2019-09-13 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-06-28 | 2019-09-13 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-06-28 | 2019-08-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-28 | 2019-08-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-28 | 2019-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-28 | 2019-08-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-28 | 2019-08-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-28 | 2019-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-28 | 2019-08-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-28 | 2019-08-29 | N |
