A list of the most recent deficiencies for Villa Mesa Care 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-19 | 2023-11-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-22 | 2023-07-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-21 | 2023-07-03 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-03-28 | 2023-04-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-28 | 2023-04-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-15 | 2023-03-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-14 | 2023-01-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-20 | 2022-11-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-25 | 2022-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-07 | 2022-07-14 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-06-02 | 2022-07-13 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-12-08 | 2022-01-24 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-11-19 | 2022-01-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-19 | 2022-01-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-19 | 2022-01-12 | 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 | 2021-11-19 | 2022-01-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-19 | 2022-01-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-19 | 2022-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2022-01-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-19 | 2022-01-12 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-11-15 | 2021-12-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-22 | 2021-11-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-21 | 2021-11-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-06 | 2021-11-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-05 | 2021-10-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-29 | 2021-10-22 | Y |
| 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 | 2021-09-07 | 2021-10-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-11 | 2021-09-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-08 | 2021-08-11 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-05-13 | 2021-06-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-26 | 2021-05-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-26 | 2021-05-21 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-05 | 2019-12-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-10-31 | 2019-11-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-31 | 2019-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-31 | 2019-11-20 | 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 | 2019-10-31 | 2019-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-31 | 2019-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-11-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-10 | 2019-02-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-02 | 2018-11-21 | 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 | 2018-11-02 | 2018-11-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-11-02 | 2018-11-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-11-02 | 2018-11-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-02 | 2018-11-21 | 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 | 2018-11-02 | 2018-11-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-02 | 2018-11-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-02 | 2018-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-02 | 2018-11-21 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-11-02 | 2018-11-21 | 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 | 2018-11-02 | 2018-11-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-02 | 2018-11-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-02 | 2018-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-02 | 2018-11-21 | N |
