A list of the most recent deficiencies for La Villa Grande 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2023-12-13 | 2024-01-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-12-13 | 2024-01-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-13 | 2024-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-13 | 2024-01-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-13 | 2024-01-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-12-13 | 2024-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-13 | 2024-01-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-13 | 2024-01-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-13 | 2024-01-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-13 | 2024-01-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-11-16 | 2023-12-26 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-11-16 | 2023-12-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-16 | 2023-12-26 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-11-16 | 2023-12-26 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-11-16 | 2023-12-21 | 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 | 2023-11-16 | 2023-12-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-11-16 | 2023-12-21 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-11-16 | 2023-12-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-16 | 2023-12-21 | 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 | 2023-11-16 | 2023-12-21 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-11-16 | 2023-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-21 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-11-16 | 2023-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-16 | 2023-12-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-16 | 2023-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-19 | 2023-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-21 | 2023-04-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-23 | 2023-04-10 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-02-23 | 2023-04-10 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-07 | 2022-09-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-07 | 2022-09-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-07 | 2022-09-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-09-07 | 2022-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-07 | 2022-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-11 | 2022-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-11 | 2022-09-14 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-11 | 2022-09-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-08-11 | 2022-09-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-06 | 2021-07-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-06 | 2021-07-12 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-06 | 2021-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-06 | 2021-06-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-06 | 2021-06-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-05-06 | 2021-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-01 | 2021-06-14 | N |
