CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Pavilion at Villa Pueblo
View the most recent health deficiencies and inspection results for The Pavilion at Villa Pueblo. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Pavilion at Villa Pueblo. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2025-12-04 | 2026-02-03 | 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 | 2025-12-04 | 2026-02-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-12-04 | 2025-12-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-12-04 | 2025-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-04 | 2025-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-04 | 2025-12-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-12-04 | 2025-12-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-04 | 2025-12-05 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-12-04 | 2025-12-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-15 | 2025-06-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-15 | 2025-06-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-15 | 2025-06-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-15 | 2025-06-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-14 | 2024-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-14 | 2024-02-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-14 | 2024-02-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-14 | 2024-02-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-14 | 2024-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-14 | 2024-01-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-14 | 2024-01-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-14 | 2024-01-11 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-14 | 2024-01-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-14 | 2024-01-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-14 | 2024-01-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-14 | 2024-01-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-09 | 2023-09-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-09 | 2023-09-06 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-09 | 2023-09-06 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-01 | 2022-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-01 | 2022-12-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-01 | 2022-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-01 | 2022-12-15 | 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 | 2022-09-01 | 2022-10-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-01 | 2022-10-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-01 | 2022-10-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-01 | 2022-10-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-09-01 | 2022-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-01 | 2022-10-01 | 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 | 2022-09-01 | 2022-10-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-01 | 2022-10-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-01 | 2022-10-01 | 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 | 2022-09-01 | 2022-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-01 | 2022-10-01 | N |