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Deficiency Records for Sgmc Health Villa
View the most recent health deficiencies and inspection results for Sgmc Health Villa. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sgmc Health Villa. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-04 | 2025-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-04 | 2025-07-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-04 | 2025-07-19 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-06-04 | 2025-07-19 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2025-06-04 | 2025-07-19 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-06-04 | 2025-07-19 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2025-06-04 | 2025-07-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-06-04 | 2025-07-19 | N |
| Respond appropriately to all alleged violations. | Health | 2024-10-22 | 2024-12-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-22 | 2024-12-06 | Y |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-12 | 2023-03-29 | N |
| Provide or obtain dental services for each resident. | Health | 2023-02-12 | 2023-03-29 | 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 | 2023-02-12 | 2023-03-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-12 | 2023-03-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-12 | 2023-03-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-12 | 2023-03-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-12 | 2023-03-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-02-12 | 2023-03-29 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-08-13 | 2021-09-24 | N |
| Dispose of garbage and refuse properly. | Health | 2021-08-13 | 2021-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-13 | 2021-09-24 | 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 | 2021-08-13 | 2021-09-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-08-13 | 2021-09-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-08-13 | 2021-09-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-08-13 | 2021-09-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-13 | 2021-09-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-08-13 | 2021-09-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-13 | 2021-09-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-13 | 2021-09-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-08-13 | 2021-09-24 | N |