Deficiency Records for The Villages Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for The Villages Rehabilitation and 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2022-09-09 | 2022-10-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-09-09 | 2022-10-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-09 | 2022-10-09 | 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 | 2022-09-09 | 2022-10-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-09 | 2022-10-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-07 | 2022-10-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-07 | 2022-10-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-07 | 2022-10-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-07 | 2022-10-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-09 | 2022-09-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-12-22 | 2022-01-22 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-12-22 | 2022-01-22 | Y |
| 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 | 2021-03-18 | 2021-04-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-18 | 2021-04-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-18 | 2021-04-18 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-08 | 2019-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-09-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-13 | 2019-09-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-13 | 2019-09-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-13 | 2019-09-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-13 | 2019-09-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-13 | 2019-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-13 | 2019-09-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-13 | 2019-09-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-13 | 2019-09-09 | N |
