A list of the most recent deficiencies for The Villas at Sunny Acres. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-06 | 2023-04-25 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-04-06 | 2023-04-25 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-04-06 | 2023-04-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-16 | 2023-03-17 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-02-16 | 2023-03-17 | 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 | 2022-12-05 | 2022-12-26 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-12-05 | 2022-12-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-05 | 2022-12-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-05 | 2022-12-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-05 | 2022-12-26 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-12-05 | 2022-12-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-12 | 2022-05-07 | Y |
| Provide immediate access to any resident. | Health | 2021-05-06 | 2021-05-10 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-05-06 | 2021-05-10 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-05-06 | 2021-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-06 | 2021-05-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-06 | 2021-05-10 | 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 | 2019-09-24 | 2019-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-10 | 2019-10-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-24 | 2019-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-24 | 2019-10-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-24 | 2019-10-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-10 | 2019-10-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-10-10 | 2019-10-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-10 | 2019-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-10 | 2019-10-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-10 | 2019-10-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-10-10 | 2019-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-10 | 2019-10-28 | 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 | 2019-09-24 | 2019-10-15 | N |
