A list of the most recent deficiencies for Villa Health Care East. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-13 | 2023-06-19 | 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 | 2023-06-13 | 2023-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-06-08 | 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 | 2023-05-25 | 2023-06-07 | N |
| 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 | 2023-05-25 | 2023-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-25 | 2023-06-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-11 | 2022-08-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-11 | 2022-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-11 | 2022-08-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-16 | 2022-08-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-04 | 2021-06-30 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-06-04 | 2021-06-29 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-06-04 | 2021-06-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-04 | 2021-06-29 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-06-04 | 2021-06-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-04 | 2021-06-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-06-04 | 2021-06-24 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-06-04 | 2021-06-24 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-06-04 | 2021-06-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-06-04 | 2021-06-24 | 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 | 2021-06-08 | 2021-06-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-08 | 2021-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-08 | 2021-06-23 | 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 | 2021-06-08 | 2021-06-23 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-06-08 | 2021-06-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-04 | 2021-06-23 | N |
