Deficiency Records for Qhc Fort Dodge Villa , LLC
Updated as of June 01, 2021
This is not the most recent data for Qhc Fort Dodge Villa , LLC. For the most recent information, click here.
A list of the most recent deficiencies for Qhc Fort Dodge Villa , LLC. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-02-10 | 2021-03-06 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-02-10 | 2021-03-06 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-02-10 | 2021-03-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-02-10 | 2021-03-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-02-10 | 2021-03-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-02-10 | 2021-03-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-02-10 | 2021-03-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-10 | 2021-03-06 | Y |
| Post nurse staffing information every day. | Health | 2021-02-10 | 2021-03-06 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-02-10 | 2021-03-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-10 | 2021-03-06 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-02-10 | 2021-03-06 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-02-10 | 2021-03-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-28 | 2021-02-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-10 | 2021-02-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-02 | 2021-02-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-02 | 2021-02-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-02-02 | 2021-02-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-02 | 2021-02-11 | 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 | 2021-02-02 | 2021-02-05 | N |
| Use approved construction type or materials. | Fire Safety | 2021-02-02 | 2021-02-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-02 | 2021-02-03 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2020-09-22 | 2020-10-22 | Y |
| 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 | 2020-09-22 | 2020-10-22 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-09-22 | 2020-10-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-09-22 | 2020-10-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-22 | 2020-10-22 | Y |
| 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 | 2020-09-22 | 2020-10-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-09-22 | 2020-10-22 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-09-22 | 2020-10-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-22 | 2020-10-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-22 | 2020-10-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-22 | 2020-10-22 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-01-23 | 2020-02-11 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-01-23 | 2020-02-11 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-12-30 | 2020-01-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-30 | 2020-01-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-30 | 2020-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-30 | 2019-12-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-31 | 2019-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-31 | 2019-08-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-31 | 2019-08-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-31 | 2019-08-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-10 | 2019-05-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-04-10 | 2019-05-10 | 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 | 2019-04-10 | 2019-05-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-10 | 2019-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-10 | 2019-05-10 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-04-10 | 2019-05-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-10 | 2019-05-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-10 | 2019-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-10 | 2019-05-10 | 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 | 2019-04-10 | 2019-05-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-04-10 | 2019-05-10 | N |
| Post nurse staffing information every day. | Health | 2019-04-10 | 2019-05-10 | 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 | 2019-04-10 | 2019-05-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-10 | 2019-05-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-04-10 | 2019-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-10 | 2019-05-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-04-10 | 2019-05-10 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-04-10 | 2019-05-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-10 | 2019-05-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-04-10 | 2019-05-10 | Y |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2019-04-10 | 2019-05-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-12 | 2019-04-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-12 | 2019-04-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-04-12 | 2019-04-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-04-12 | 2019-04-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-12 | 2019-04-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-04-12 | 2019-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-12 | 2019-04-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-19 | 2018-11-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-19 | 2018-11-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-06 | 2018-09-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-06 | 2018-09-06 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-12-08 | 2018-01-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-12-08 | 2018-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-08 | 2018-01-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-12-08 | 2018-01-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-12-08 | 2018-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-08 | 2018-01-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-12-08 | 2018-01-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-08 | 2018-01-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-08 | 2018-01-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-12-07 | 2018-01-06 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-12-07 | 2018-01-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-07 | 2018-01-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-07 | 2018-01-06 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-12-07 | 2018-01-06 | 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 | 2017-12-07 | 2018-01-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-07 | 2018-01-06 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2017-12-07 | 2018-01-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-07 | 2018-01-06 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2017-12-07 | 2018-01-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2017-12-07 | 2018-01-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2017-12-07 | 2018-01-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-07 | 2018-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-07 | 2018-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-16 | Not Fixed | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-06 | Not Fixed | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-06 | Not Fixed | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-06 | Not Fixed | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-06 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-06 | Not Fixed | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-06 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-06 | Not Fixed | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-06 | Not Fixed | 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 | 2018-09-06 | Not Fixed | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-09-06 | Not Fixed | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-06 | Not Fixed | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-06 | Not Fixed | Y |
