Deficiency Records for Springdale Village Healthcare
Updated as of November 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 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 |
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 |