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Deficiency Records for Broadway Villa Post Acute
View the most recent health deficiencies and inspection results for Broadway Villa Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Broadway Villa Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-02-27 | 2026-03-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-27 | 2026-03-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-14 | 2026-01-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-24 | 2026-01-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-08 | 2025-09-16 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-04-21 | 2025-05-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-21 | 2025-05-02 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-23 | 2025-02-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-23 | 2025-02-03 | N |
| Post nurse staffing information every day. | Health | 2025-01-23 | 2025-01-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-23 | 2025-01-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-23 | 2025-01-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-23 | 2025-01-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-23 | 2025-01-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-14 | 2025-01-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-14 | 2025-01-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-23 | 2023-12-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-23 | 2023-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-23 | 2023-12-21 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-10-23 | 2023-12-21 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-23 | 2023-12-21 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-23 | 2023-12-21 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-10-23 | 2023-12-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-23 | 2023-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-23 | 2023-12-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-23 | 2023-12-21 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-10-23 | 2023-12-21 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-10-23 | 2023-12-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-23 | 2023-12-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-23 | 2023-12-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-23 | 2023-12-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-23 | 2023-11-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-23 | 2023-11-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-10-23 | 2023-11-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-23 | 2023-11-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-23 | 2023-11-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-23 | 2023-11-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-23 | 2023-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-23 | 2023-11-16 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-10-23 | 2023-11-16 | 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 | 2023-10-23 | 2023-11-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-23 | 2023-11-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-23 | 2023-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-29 | 2022-08-12 | 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 | 2022-06-29 | 2022-08-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-29 | 2022-08-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-29 | 2022-08-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-29 | 2022-08-12 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-06-29 | 2022-08-12 | 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 | 2022-06-29 | 2022-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-29 | 2022-08-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-06-29 | 2022-08-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-29 | 2022-08-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-29 | 2022-08-12 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-06-29 | 2022-08-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-06-29 | 2022-08-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-29 | 2022-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-29 | 2022-08-09 | 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 | 2022-06-29 | 2022-07-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-29 | 2022-07-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-29 | 2022-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-29 | 2022-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-29 | 2022-07-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-29 | 2022-07-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-06-29 | 2022-07-18 | N |
| Keep all essential equipment working safely. | Health | 2022-06-29 | 2022-06-30 | N |