Deficiency Records for The Villages Rehabilitation and Nursing Center

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Updated as of May 01, 2020

This is not the most recent data for The Villages Rehabilitation and Nursing Center. For the most recent information, click here.

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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-10-08 2019-10-17 Y
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
Ensure each resident receives an accurate assessment. Health 2019-08-08 2019-09-09 Y
Provide and implement an infection prevention and control program. Health 2019-08-08 2019-09-09 Y
Meet other general requirements that are deficient. Fire Safety 2018-06-12 2018-07-14 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2018-06-12 2018-07-14 N
Reasonably accommodate the needs and preferences of each resident. Health 2018-06-14 2018-07-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-06-14 2018-07-14 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 2018-06-14 2018-07-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-06-14 2018-07-14 N
Dispose of garbage and refuse properly. Health 2018-06-14 2018-07-14 N
Provide and implement an infection prevention and control program. Health 2018-06-14 2018-07-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-06-12 2018-06-26 N
Provide housekeeping and maintenance services. Health 2017-06-08 2017-07-08 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2017-06-08 2017-07-08 N
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Health 2017-06-08 2017-07-08 N
Store, cook, and serve food in a safe and clean way. Health 2017-06-08 2017-07-08 N
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Health 2017-06-08 2017-07-08 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2017-06-08 2017-07-08 N