Deficiency Records for Broadway Villa Post Acute
Updated as of August 01, 2022
This is not the most recent data for Broadway Villa Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Broadway Villa Post Acute. 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? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2022-04-11 | 2022-06-02 | 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 | 2021-10-18 | 2021-12-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-18 | 2021-12-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-01 | 2021-09-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-06 | 2020-07-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-03 | 2019-10-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-03 | 2019-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-03 | 2019-10-22 | 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 | 2019-08-15 | 2019-10-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-15 | 2019-10-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-15 | 2019-10-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-15 | 2019-10-01 | 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 | 2019-08-15 | 2019-10-01 | N |
| Dispose of garbage and refuse properly. | Health | 2019-08-15 | 2019-10-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-03 | 2018-10-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-03 | 2018-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-03 | 2018-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-03 | 2018-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-03 | 2018-10-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-16 | 2018-10-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-16 | 2018-10-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-16 | 2018-10-10 | 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 | 2018-08-16 | 2018-10-10 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-08-16 | 2018-10-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-21 | 2017-08-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-21 | 2017-08-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-21 | 2017-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-21 | 2017-08-22 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-21 | 2017-08-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-21 | 2017-08-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-21 | 2017-08-22 | N |
| Use approved construction type or materials. | Fire Safety | 2017-07-26 | 2017-08-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-07-26 | 2017-08-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-26 | 2017-08-14 | N |
