Deficiency Records for Qhc Fort Dodge Villa , LLC
Updated as of March 01, 2022
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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-06 | 2021-12-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-06 | 2021-12-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-06 | 2021-12-30 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-10-06 | 2021-12-30 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-06 | 2021-12-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-06 | 2021-10-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-06 | 2021-10-31 | 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 | 2021-10-06 | 2021-10-31 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-10-06 | 2021-10-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-06 | 2021-10-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-06 | 2021-10-31 | 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 | 2021-10-06 | 2021-10-31 | Y |
| 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 | 2021-10-06 | 2021-10-31 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-10-06 | 2021-10-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-06 | 2021-10-31 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-10-06 | 2021-10-31 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-10-06 | 2021-10-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-06 | 2021-10-31 | Y |
| 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 | 2021-02-10 | 2021-02-25 | 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 |
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2020-06-16 | 2020-07-21 | N |
| 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 |
| 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-06 | Not Fixed | Y |
