A list of the most recent deficiencies for Vivo Healthcare Wachula. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-15 | 2023-02-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-15 | 2023-02-12 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-15 | 2023-02-12 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-09 | 2022-12-13 | N |
| 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 | 2022-11-15 | 2022-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-15 | 2022-12-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-03-26 | 2021-04-26 | N |
| Provide activities to meet all resident's needs. | Health | 2021-03-26 | 2021-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-26 | 2021-04-26 | N |
| 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 | 2021-03-26 | 2021-04-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-26 | 2021-04-26 | 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 | 2021-03-26 | 2021-04-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-26 | 2021-04-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-03-26 | 2021-04-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-26 | 2021-04-26 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-03-26 | 2021-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-26 | 2021-04-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-26 | 2021-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-26 | 2021-04-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-26 | 2021-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-26 | 2021-04-26 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2021-03-26 | 2021-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-26 | 2021-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-26 | 2021-04-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-03 | 2019-08-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-03 | 2019-08-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-03 | 2019-08-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-03 | 2019-08-03 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-07-03 | 2019-08-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-07-03 | 2019-08-03 | N |
| 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 | 2019-07-03 | 2019-08-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-02 | 2019-08-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-02 | 2019-08-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-02 | 2019-08-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-02 | 2019-08-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-02 | 2019-08-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-02 | 2019-08-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-02 | 2019-08-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-02 | 2019-08-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-02 | 2019-08-03 | N |
