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Deficiency Records for Villa Del Sol Post Acute
View the most recent health deficiencies and inspection results for Villa Del Sol Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Villa Del Sol Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-12-04 | 2025-12-27 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-29 | 2025-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-08 | 2025-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-05 | 2025-06-28 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-05-29 | 2025-06-22 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-04-04 | 2025-05-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-04-04 | 2025-05-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-04 | 2025-05-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-04 | 2025-05-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-04 | 2025-05-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-04-04 | 2025-05-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-04 | 2025-05-04 | 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 | 2025-04-04 | 2025-05-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-04 | 2025-05-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-04 | 2025-05-04 | 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 | 2025-04-04 | 2025-05-04 | 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 | 2025-04-04 | 2025-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-04 | 2025-05-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-04-04 | 2025-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-04 | 2025-05-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-04-04 | 2025-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-04 | 2025-05-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-04 | 2025-05-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-27 | 2025-04-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-03-27 | 2025-04-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-27 | 2025-04-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-19 | 2024-12-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-19 | 2024-12-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-31 | 2024-11-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-26 | 2024-10-20 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-09-18 | 2024-10-11 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-12 | 2024-05-18 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-04-12 | 2024-05-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-12 | 2024-05-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-12 | 2024-05-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-12 | 2024-05-18 | 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 | 2024-04-12 | 2024-05-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-12 | 2024-05-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-12 | 2024-05-12 | 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 | 2024-04-12 | 2024-05-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-12 | 2024-05-12 | 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 | 2024-04-12 | 2024-05-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-12 | 2024-05-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-12 | 2024-05-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-12 | 2024-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-12 | 2024-05-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-12 | 2024-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-12 | 2024-05-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-12 | 2024-05-12 | 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 | 2024-04-12 | 2024-05-12 | 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 | 2024-04-12 | 2024-05-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-12 | 2024-05-12 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-04-12 | 2024-05-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-12 | 2024-05-12 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-04-12 | 2024-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-12 | 2024-05-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-28 | 2024-04-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-11 | 2023-11-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-20 | 2023-10-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-27 | 2023-10-17 | Y |
| Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | Health | 2023-08-24 | 2023-09-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-24 | 2023-09-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-28 | 2023-08-18 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-14 | 2023-08-05 | 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 | 2023-07-14 | 2023-08-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-23 | 2023-06-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-10 | 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 | 2023-05-11 | 2023-06-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-11 | 2023-06-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-11 | 2023-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-11 | 2023-06-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-05 | 2023-06-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-29 | 2021-06-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-29 | 2021-06-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-04-29 | 2021-06-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-29 | 2021-06-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-29 | 2021-06-02 | 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 | 2021-04-29 | 2021-06-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-29 | 2021-06-02 | 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 | 2021-04-29 | 2021-06-02 | 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 | 2021-04-29 | 2021-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-29 | 2021-06-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-29 | 2021-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-06-02 | 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 | 2021-04-29 | 2021-06-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-04-29 | 2021-06-02 | 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 | 2021-04-29 | 2021-06-02 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-04-29 | 2021-06-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-04-29 | 2021-06-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-29 | 2021-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-29 | 2021-06-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-29 | 2021-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-29 | 2021-06-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-03-09 | Not Fixed | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-25 | Not Fixed | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2026-03-25 | Not Fixed | Y |