Deficiency Records for Springdale Village Healthcare
Updated as of March 01, 2020
This is not the most recent data for Springdale Village Healthcare. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-28 | 2019-10-16 | Y |
| 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 ne | 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 |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-10 | 2018-05-25 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-04-06 | 2018-04-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-04-06 | 2018-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-06 | 2018-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-06 | 2018-04-18 | 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 | 2018-04-06 | 2018-04-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-04-06 | 2018-04-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-06 | 2018-04-18 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-02-03 | 2017-03-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-03 | 2017-03-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-02-03 | 2017-03-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-03 | 2017-03-10 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-02-03 | 2017-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-03 | 2017-03-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-03 | 2017-03-10 | N |
| Dispose of garbage and refuse properly. | Health | 2017-02-03 | 2017-03-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-03 | 2017-03-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-03 | 2017-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-14 | 2017-02-27 | N |
