Deficiency Records for Addolorata Villa
Updated as of September 01, 2022
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-02 | 2022-06-20 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-27 | 2022-05-20 | 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 | 2022-04-27 | 2022-05-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-27 | 2022-05-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-15 | 2022-05-05 | 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 | 2022-04-15 | 2022-05-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-15 | 2022-05-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-15 | 2022-05-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-15 | 2022-05-05 | 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 | 2022-04-15 | 2022-05-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-28 | 2022-03-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-28 | 2022-03-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-16 | 2021-10-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-16 | 2021-10-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-16 | 2021-10-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2020-09-29 | 2020-11-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-29 | 2020-11-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-29 | 2020-11-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-09-29 | 2020-11-13 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-09-29 | 2020-11-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-09-29 | 2020-11-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-09-29 | 2020-11-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-09-29 | 2020-11-02 | 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 | 2020-09-29 | 2020-11-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-09-29 | 2020-11-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-09-29 | 2020-11-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-29 | 2020-10-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-10-01 | 2020-10-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-09-29 | 2020-10-23 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-09-29 | 2020-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-11 | 2020-07-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-03 | 2019-11-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-05 | 2019-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-05 | 2019-03-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-03-05 | 2019-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-21 | 2019-03-08 | 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 | 2019-02-21 | 2019-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-21 | 2019-03-08 | N |
