A list of the most recent deficiencies for Villa Maria Nursing 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-01 | 2023-01-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-01 | 2023-01-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-01 | 2023-01-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2023-01-01 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2022-12-01 | 2023-01-01 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2022-12-01 | 2023-01-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2023-01-01 | 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 | 2022-12-01 | 2023-01-01 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-29 | 2023-01-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-29 | 2023-01-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-29 | 2023-01-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-29 | 2023-01-01 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-03-12 | 2021-04-12 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-12-18 | 2021-01-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-12-18 | 2021-01-23 | 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 | 2020-12-18 | 2021-01-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-12-18 | 2021-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-12-18 | 2021-01-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-12-18 | 2021-01-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-12-18 | 2021-01-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-18 | 2021-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-12-18 | 2021-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-18 | 2021-01-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-12-17 | 2021-01-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-12-17 | 2021-01-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-12-17 | 2021-01-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-12-17 | 2021-01-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-25 | 2019-05-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-25 | 2019-05-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-25 | 2019-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-25 | 2019-05-25 | 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 | 2019-04-25 | 2019-05-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-04-25 | 2019-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-25 | 2019-05-25 | N |
| Keep all essential equipment working safely. | Health | 2019-04-25 | 2019-05-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-04-25 | 2019-05-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-25 | 2019-05-25 | 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 | 2019-04-25 | 2019-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-25 | 2019-05-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-25 | 2019-05-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-25 | 2019-05-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-25 | 2019-05-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-25 | 2019-05-25 | N |
