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Deficiency Records for Villa Siena
View the most recent health deficiencies and inspection results for Villa Siena. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Villa Siena. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Observe each nurse aide's job performance and give regular training. | Health | 2025-07-28 | 2025-08-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-07-28 | 2025-08-12 | 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 | 2025-07-28 | 2025-08-11 | 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 | 2025-07-28 | 2025-08-11 | 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 | 2025-07-28 | 2025-08-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-28 | 2025-08-11 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-28 | 2025-08-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-07-28 | 2025-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-28 | 2025-08-01 | N |
| Post nurse staffing information every day. | Health | 2025-07-28 | 2025-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-28 | 2025-07-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-28 | 2025-07-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-28 | 2025-07-29 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-07-28 | 2025-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-22 | 2024-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-22 | 2024-05-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-04-22 | 2024-05-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-04-22 | 2024-05-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-22 | 2024-05-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-04-22 | 2024-05-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-22 | 2024-05-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-22 | 2024-05-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-22 | 2024-05-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-22 | 2024-05-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-22 | 2024-05-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-04-22 | 2024-05-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-22 | 2024-05-09 | 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 | 2024-04-22 | 2024-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-22 | 2024-05-09 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-04-22 | 2024-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-22 | 2024-05-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-22 | 2024-05-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-04-22 | 2024-05-09 | Y |
| 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 | 2024-04-22 | 2024-05-09 | 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 | 2024-04-22 | 2024-05-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-22 | 2024-05-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-22 | 2024-05-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-04-22 | 2024-05-09 | 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 | 2023-08-24 | 2023-08-25 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-09 | 2023-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-09 | 2023-01-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-09 | 2023-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-09 | 2023-01-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-09 | 2023-01-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-12-09 | 2023-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-09 | 2023-01-08 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2022-12-09 | 2023-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-09 | 2023-01-08 | 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 | 2022-12-09 | 2023-01-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-09 | 2023-01-08 | N |
| Post nurse staffing information every day. | Health | 2022-12-09 | 2023-01-08 | 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 | 2022-12-09 | 2023-01-08 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-12-09 | 2023-01-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-09 | 2023-01-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-09 | 2023-01-08 | N |