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Deficiency Records for Villa Maria Post Acute
View the most recent health deficiencies and inspection results for Villa Maria Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Villa Maria Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-07-25 | 2025-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-25 | 2025-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-07-25 | 2025-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-07-25 | 2025-08-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-07-25 | 2025-08-01 | 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 | 2025-07-25 | 2025-08-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-25 | 2025-08-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-28 | 2024-12-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-22 | 2024-11-25 | Y |
| 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 | 2024-06-06 | 2024-06-29 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-06 | 2024-06-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-06-06 | 2024-06-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-06-06 | 2024-06-29 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-06-06 | 2024-06-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-06 | 2024-06-29 | 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 | 2024-06-06 | 2024-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-06 | 2024-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-06-29 | 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 | 2024-06-06 | 2024-06-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-06-06 | 2024-06-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-06 | 2024-06-11 | 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 | 2024-06-06 | 2024-06-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-09 | 2024-01-23 | Y |
| 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 | 2023-06-22 | 2023-07-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-22 | 2023-07-22 | 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 | 2023-06-22 | 2023-07-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-22 | 2023-07-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-22 | 2023-07-22 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-22 | 2023-07-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-22 | 2023-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-22 | 2023-07-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-06-22 | 2023-07-18 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-06-22 | 2023-07-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-22 | 2023-07-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-22 | 2023-07-18 | N |