A list of the most recent deficiencies for Villa Las Palmas Healthcare Center. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-26 | 2024-01-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-26 | 2024-01-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-26 | 2024-01-26 | Y |
| 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 | 2023-12-26 | 2024-01-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-18 | 2023-10-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-18 | 2023-10-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-18 | 2023-10-27 | Y |
| 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 | 2023-07-14 | 2023-07-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-04 | 2023-05-22 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-05-09 | 2023-05-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-06 | 2023-05-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-22 | 2023-01-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-14 | 2022-11-07 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-01 | 2022-10-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-01 | 2022-10-05 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-01 | 2022-10-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-01 | 2022-10-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-01 | 2022-10-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-01 | 2022-10-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-01 | 2022-10-05 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2022-08-01 | 2022-10-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-01 | 2022-10-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-01 | 2022-10-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-31 | 2022-09-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-28 | 2022-08-23 | 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 | 2022-07-28 | 2022-08-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-07-28 | 2022-08-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-28 | 2022-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-28 | 2022-08-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-28 | 2022-08-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-28 | 2022-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-28 | 2022-08-23 | 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 | 2022-07-28 | 2022-08-23 | 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 | 2022-07-28 | 2022-08-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-28 | 2022-08-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-28 | 2022-08-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-28 | 2022-08-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-28 | 2022-08-23 | 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 | 2022-07-28 | 2022-08-23 | N |
| 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 | 2022-07-28 | 2022-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-28 | 2022-08-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-01 | 2022-08-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-01 | 2022-08-19 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-03 | 2019-06-19 | 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 | 2019-05-03 | 2019-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-03 | 2019-06-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-03 | 2019-06-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-03 | 2019-06-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-22 | 2019-04-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-03-22 | 2019-04-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-22 | 2019-04-21 | 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 | 2019-03-22 | 2019-04-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-22 | 2019-04-21 | 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 | 2019-03-22 | 2019-04-21 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-22 | 2019-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-22 | 2019-04-21 | 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 | 2019-03-22 | 2019-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-22 | 2019-04-21 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-05-09 | 2018-05-30 | N |
| Develop a communication plan. | Fire Safety | 2018-05-09 | 2018-05-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-09 | 2018-05-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-09 | 2018-05-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-09 | 2018-05-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-09 | 2018-05-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-09 | 2018-05-30 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-03-26 | 2018-04-27 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-03-26 | 2018-04-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-26 | 2018-04-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-26 | 2018-04-27 | 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 | 2018-03-26 | 2018-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-26 | 2018-04-27 | N |
