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Deficiency Records for The Village at Victory Lakes

View the most recent health deficiencies and inspection results for The Village at Victory Lakes. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for The Village at Victory Lakes. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide properly protected cooking facilities. Fire Safety 2026-03-12 2026-05-12 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2026-03-12 2026-04-22 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2026-03-12 2026-04-22 N
Have an enclosure around a vertical opening shaft. Fire Safety 2026-03-12 2026-04-17 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2026-03-12 2026-04-17 N
Install an approved automatic sprinkler system. Fire Safety 2026-03-12 2026-04-17 N
Install a two-hour-resistant firewall separation. Fire Safety 2026-03-12 2026-04-17 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2026-03-12 2026-04-01 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2026-03-12 2026-03-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-03-12 2026-03-26 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 2026-03-12 2026-03-26 N
Provide enough food/fluids to maintain a resident's health. Health 2026-03-12 2026-03-26 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 2026-03-12 2026-03-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-03-12 2026-03-26 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2026-03-12 2026-03-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-02-23 2026-02-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-10-28 2025-11-25 Y
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2025-10-30 2025-11-25 Y
Install an approved automatic sprinkler system. Fire Safety 2025-01-29 2025-03-17 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2025-01-29 2025-03-17 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-01-29 2025-02-27 N
Have exits that are accessible at all times. Fire Safety 2025-01-29 2025-02-14 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2025-01-29 2025-02-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-01-29 2025-02-14 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2025-01-29 2025-02-14 N
Establish roles under a Waiver declared by secretary. Fire Safety 2025-01-29 2025-02-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-01-29 2025-02-14 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2025-01-29 2025-02-12 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2025-01-29 2025-02-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-01-29 2025-02-12 N
Provide and implement an infection prevention and control program. Health 2025-01-29 2025-02-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-07 2024-04-09 N
Establish roles under a Waiver declared by secretary. Fire Safety 2024-02-07 2024-03-11 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-02-07 2024-03-11 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2024-02-07 2024-03-07 N
Install a two-hour-resistant firewall separation. Fire Safety 2024-02-07 2024-03-07 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-02-07 2024-03-05 N
Provide and implement an infection prevention and control program. Health 2024-02-07 2024-03-03 N
Provide or get specialized rehabilitative services as required for a resident. Health 2024-02-07 2024-03-03 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-02-07 2024-03-03 N
Ensure that residents are free from significant medication errors. Health 2024-02-07 2024-03-03 N
Ensure medication error rates are not 5 percent or greater. Health 2024-02-07 2024-03-03 N
Provide enough food/fluids to maintain a resident's health. Health 2024-02-07 2024-03-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-07 2024-03-03 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 2024-02-07 2024-03-03 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-07 2024-03-03 N
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2024-02-07 2024-03-03 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-02-07 2024-03-03 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-02-07 2024-02-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-02-07 2024-02-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-07 2024-02-22 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-03 2024-01-19 Y

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