Deficiency Records for Victoria Nursing and Rehabilitation Center, Inc.

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Updated as of March 01, 2023

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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?
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
Keep residents' personal and medical records private and confidential. Health 2018-10-12 2018-11-12 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-10-12 2018-11-12 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2018-10-12 2018-11-12 N
Ensure each resident receives an accurate assessment. Health 2018-10-12 2018-11-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-10-12 2018-11-12 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2018-10-12 2018-11-12 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-10-12 2018-11-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-10-17 2018-11-12 N