A list of the most recent deficiencies for Flower Villa, Inc. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-09-12 | 2023-09-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-14 | 2023-05-01 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-11-07 | 2022-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-06 | 2022-03-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-07 | 2021-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-07 | 2021-11-30 | 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 | 2021-11-07 | 2021-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-07 | 2021-11-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-11-07 | 2021-11-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-07 | 2021-11-30 | 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 | 2021-11-07 | 2021-11-30 | 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 | 2021-11-07 | 2021-11-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-11-07 | 2021-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-07 | 2021-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-07 | 2021-11-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-07 | 2021-11-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-07 | 2021-11-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-09 | 2021-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-31 | 2019-12-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-31 | 2019-12-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-31 | 2019-12-05 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2019-10-31 | 2019-12-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-31 | 2019-12-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-31 | 2019-12-05 | 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 | 2019-10-27 | 2019-11-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-27 | 2019-11-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-27 | 2019-11-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-27 | 2019-11-26 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-27 | 2019-11-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-27 | 2019-11-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-27 | 2019-11-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-27 | 2019-11-26 | 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 | 2019-10-27 | 2019-11-26 | 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 | 2019-10-27 | 2019-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-27 | 2019-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-27 | 2019-11-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-27 | 2019-11-26 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-12-15 | 2019-01-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-12-14 | 2018-12-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-14 | 2018-12-18 | N |
| Respond appropriately to all alleged violations. | Health | 2018-12-14 | 2018-12-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-14 | 2018-12-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-12-14 | 2018-12-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-14 | 2018-12-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-12-14 | 2018-12-18 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-12-14 | 2018-12-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-14 | 2018-12-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-14 | 2018-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-14 | 2018-12-18 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-12-14 | Not Fixed | N |
