Deficiency Records for The Villas at Saratoga Skilled Nsg and Assisted Lvg
Updated as of March 01, 2024
A list of the most recent deficiencies for The Villas at Saratoga Skilled Nsg and Assisted Lvg. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-14 | 2022-12-14 | N |
| Dispose of garbage and refuse properly. | Health | 2022-11-14 | 2022-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-14 | 2022-12-14 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-11-14 | 2022-12-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-15 | 2022-12-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-14 | 2022-12-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-14 | 2022-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-14 | 2022-11-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-14 | 2022-11-18 | 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 | 2022-11-14 | 2022-11-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-14 | 2022-11-14 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-11-14 | 2022-11-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-14 | 2022-11-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-11-14 | 2022-11-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-14 | 2022-11-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-14 | 2022-11-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-14 | 2022-11-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-14 | 2022-11-14 | 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 | 2022-11-14 | 2022-11-14 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-11-14 | 2022-11-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-11-03 | 2021-12-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-18 | 2021-11-16 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-08-16 | 2021-11-10 | Y |
| 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 | 2021-08-16 | 2021-11-10 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-05-25 | 2021-06-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-13 | 2020-03-17 | N |
| 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 | 2020-01-17 | 2020-02-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-17 | 2020-02-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-01-17 | 2020-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-17 | 2020-02-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-17 | 2020-02-10 | 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 | 2020-01-17 | 2020-02-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-17 | 2020-02-10 | 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 | 2020-01-17 | 2020-02-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-01-17 | 2020-02-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-02-28 | 2019-04-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-02-28 | 2019-04-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-28 | 2019-04-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-14 | 2019-01-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-12-14 | 2019-01-31 | N |
| 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 | 2018-12-14 | 2019-01-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-12-14 | 2019-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-14 | 2019-01-31 | 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 | 2018-12-14 | 2019-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-14 | 2019-01-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-12-14 | 2019-01-31 | 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 | 2018-12-14 | 2019-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-14 | 2019-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-14 | 2019-01-31 | N |
| Keep all essential equipment working safely. | Health | 2018-12-14 | 2019-01-31 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-12-14 | 2019-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-27 | Not Fixed | N |
