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Deficiency Records for Addolorata Villa
View the most recent health deficiencies and inspection results for Addolorata Villa. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Addolorata Villa. Stay informed about quality of care issues.
| 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 | 2026-03-27 | 2026-04-09 | Y |
| 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 | 2026-01-15 | 2026-02-02 | 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 | 2026-01-15 | 2026-02-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-15 | 2026-02-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-07 | 2025-12-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-08-14 | 2025-08-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-14 | 2025-08-29 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-01-16 | 2025-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-16 | 2025-02-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-01-16 | 2025-02-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-16 | 2025-02-06 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2025-01-16 | 2025-02-06 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2025-01-16 | 2025-02-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-16 | 2025-02-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-16 | 2025-02-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-16 | 2025-02-04 | 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 | 2025-01-16 | 2025-02-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-16 | 2025-01-31 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-01-16 | 2025-01-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-22 | 2025-01-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-29 | 2024-10-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-19 | 2024-08-02 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-27 | 2024-04-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-27 | 2024-04-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-27 | 2024-04-17 | 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 | 2024-03-27 | 2024-04-17 | 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 | 2024-03-27 | 2024-04-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-27 | 2024-04-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-27 | 2024-04-17 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-03-27 | 2024-04-17 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-27 | 2024-04-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-27 | 2024-03-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-27 | 2024-03-28 | 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 | 2024-02-24 | 2024-03-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-08 | 2024-03-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-25 | 2023-09-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-13 | 2023-08-03 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-16 | 2023-03-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-02-16 | 2023-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-16 | 2023-03-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-02-16 | 2023-03-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-16 | 2023-03-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-16 | 2023-03-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-16 | 2023-03-17 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-02-16 | 2023-03-16 | N |