A list of the most recent deficiencies for Vivo Healthcare Orange Park. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-01-06 | 2023-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-06 | 2023-02-28 | N |
| Keep all essential equipment working safely. | Health | 2023-01-06 | 2023-02-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-06 | 2023-02-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-06 | 2023-02-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-01-06 | 2023-02-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-06 | 2023-02-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-06 | 2023-02-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-06 | 2023-02-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-04 | 2023-02-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-04 | 2023-02-06 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-02-24 | 2022-03-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-24 | 2022-03-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-27 | 2021-07-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-27 | 2021-07-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-27 | 2021-07-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-27 | 2021-07-06 | 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 | 2021-05-27 | 2021-07-06 | 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 | 2021-05-27 | 2021-07-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-27 | 2021-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-27 | 2021-07-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-27 | 2021-07-05 | 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 | 2021-05-27 | 2021-07-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-22 | 2021-06-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-22 | 2021-06-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-22 | 2021-06-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-31 | 2019-07-03 | 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 | 2019-05-31 | 2019-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-31 | 2019-07-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-31 | 2019-07-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-29 | 2019-07-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-29 | 2019-07-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-29 | 2019-07-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-05-29 | 2019-07-03 | N |
