Deficiency Records for Victoria Nursing and Rehabilitation Center, Inc.
Updated as of March 01, 2024
A list of the most recent deficiencies for Victoria Nursing and Rehabilitation Center, Inc.. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-07-20 | 2023-08-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-20 | 2023-08-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-20 | 2023-08-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-20 | 2023-08-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-24 | 2022-07-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-06-24 | 2022-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-24 | 2022-07-24 | 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 | 2022-06-24 | 2022-07-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-24 | 2022-07-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-24 | 2022-07-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-24 | 2022-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-24 | 2022-07-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-24 | 2022-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-23 | 2022-07-24 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2022-06-23 | 2022-07-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-21 | 2021-05-21 | Y |
| Provide appropriate foot care. | Health | 2020-01-16 | 2020-04-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-16 | 2020-04-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-15 | 2020-02-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-01-15 | 2020-02-16 | N |
