Deficiency Records for Addolorata Villa
Updated as of October 01, 2016
This is not the most recent data for Addolorata Villa. For the most recent information, click here.
A list of the most recent deficiencies for Addolorata Villa. 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? |
|---|---|---|---|---|
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-12-17 | 2016-01-31 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-12-17 | 2016-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-17 | 2016-01-31 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-12-17 | 2016-01-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-12-17 | 2016-01-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-12-17 | 2016-01-31 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Approved construction type or materials. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| The appropriate emergency electrical system. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| An elevator that firefighters can control in the event of a fire. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-12-17 | 2016-01-31 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-12-17 | 2016-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-17 | 2016-01-31 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-12-17 | 2016-01-31 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-12-17 | 2016-01-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-12-17 | 2016-01-31 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Approved construction type or materials. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| The appropriate emergency electrical system. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| An elevator that firefighters can control in the event of a fire. | Fire Safety | 2015-12-14 | 2016-01-31 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-12-14 | 2015-12-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-12-14 | 2015-12-18 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-12-14 | 2015-12-18 | N |
| The appropriate emergency electrical system. | Fire Safety | 2015-01-27 | 2015-04-21 | N |
| The appropriate emergency electrical system. | Fire Safety | 2015-01-27 | 2015-04-21 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-01-27 | 2015-03-31 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-01-27 | 2015-03-31 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-01-27 | 2015-03-31 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-01-27 | 2015-03-31 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-01-27 | 2015-02-28 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-01-27 | 2015-02-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-01-29 | 2015-02-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-29 | 2015-02-26 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-01-29 | 2015-02-26 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-01-29 | 2015-02-26 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-01-29 | 2015-02-26 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-01-29 | 2015-02-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-01-29 | 2015-02-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-29 | 2015-02-26 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-01-29 | 2015-02-26 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-01-29 | 2015-02-26 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-01-29 | 2015-02-26 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-01-29 | 2015-02-26 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2015-01-27 | 2015-02-23 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2015-01-27 | 2015-02-23 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2015-01-27 | 2015-02-14 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2015-01-27 | 2015-02-14 | N |
| Approved construction type or materials. | Fire Safety | 2015-01-27 | 2015-02-12 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-01-27 | 2015-02-12 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-01-27 | 2015-02-12 | N |
| Approved construction type or materials. | Fire Safety | 2015-01-27 | 2015-02-12 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-01-27 | 2015-02-12 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-01-27 | 2015-02-12 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-01-27 | 2015-02-11 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-01-27 | 2015-02-11 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-01-27 | 2015-02-11 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-01-27 | 2015-02-11 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-01-27 | 2015-02-10 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-01-27 | 2015-02-10 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-01-27 | 2015-01-28 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2015-01-27 | 2015-01-28 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-01-27 | 2015-01-28 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-01-27 | 2015-01-28 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2015-01-27 | 2015-01-28 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-01-27 | 2015-01-28 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2015-01-27 | 2015-01-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-01-27 | 2015-01-27 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2015-01-27 | 2015-01-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-01-27 | 2015-01-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-02-06 | 2014-04-26 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2014-02-06 | 2014-04-26 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-02-06 | 2014-04-26 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-02-06 | 2014-04-26 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2014-02-06 | 2014-04-26 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-02-06 | 2014-04-26 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-02-06 | 2014-04-02 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-02-06 | 2014-04-02 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2014-02-06 | 2014-03-13 | N |
| Proper backup exit lighting. | Fire Safety | 2014-02-06 | 2014-03-13 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2014-02-06 | 2014-03-13 | N |
| Proper backup exit lighting. | Fire Safety | 2014-02-06 | 2014-03-13 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-02-06 | 2014-03-10 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2014-02-06 | 2014-03-10 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-02-06 | 2014-03-10 | N |
| Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2014-02-06 | 2014-03-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-02-06 | 2014-03-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-02-06 | 2014-03-07 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2014-02-06 | 2014-03-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-02-06 | 2014-03-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-06 | 2014-03-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-02-06 | 2014-03-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-02-06 | 2014-03-07 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2014-02-06 | 2014-03-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-02-06 | 2014-03-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-06 | 2014-03-07 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2014-02-06 | 2014-02-28 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-02-06 | 2014-02-28 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2014-02-06 | 2014-02-28 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-02-06 | 2014-02-28 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-02-06 | 2014-02-12 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-02-06 | 2014-02-12 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2014-02-06 | 2014-02-09 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2014-02-06 | 2014-02-09 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| Approved construction type or materials. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| Approved construction type or materials. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
| An adequate water supply for the sprinkler system. | Fire Safety | 2014-02-06 | 2014-02-06 | N |
