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Deficiency Records for Villa Maria
View the most recent health deficiencies and inspection results for Villa Maria. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Villa Maria. 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 | 2025-07-30 | 2025-08-19 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-12-17 | 2025-01-23 | N |
| Use approved construction type or materials. | Fire Safety | 2024-12-17 | 2025-01-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-17 | 2025-01-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-17 | 2025-01-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-17 | 2025-01-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-17 | 2025-01-15 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-12-17 | 2025-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-17 | 2025-01-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-08 | 2023-03-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-08 | 2023-03-22 | 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 | 2023-02-08 | 2023-03-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-08 | 2023-03-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-08 | 2023-03-22 | 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 | 2023-02-08 | 2023-03-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-08 | 2023-03-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-08 | 2023-03-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-08 | 2023-03-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-08 | 2023-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-08 | 2023-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-08 | 2023-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-08 | 2023-03-10 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-02-08 | 2023-03-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-08 | 2023-03-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-02-08 | 2023-03-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-02-08 | 2023-03-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-08 | 2023-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-20 | 2021-07-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-20 | 2021-07-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-20 | 2021-07-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-04-20 | 2021-07-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-20 | 2021-07-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-04-20 | 2021-07-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-20 | 2021-07-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-20 | 2021-07-29 | 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 | 2021-04-20 | 2021-07-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-20 | 2021-07-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-20 | 2021-07-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-04-20 | 2021-07-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-20 | 2021-07-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-20 | 2021-07-29 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-04-20 | 2021-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-20 | 2021-05-26 | 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 | 2021-04-20 | 2021-05-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-20 | 2021-05-26 | 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 | 2021-04-20 | 2021-05-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-20 | 2021-05-26 | 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 | 2021-04-20 | 2021-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-20 | 2021-05-26 | N |
| Dispose of garbage and refuse properly. | Health | 2021-04-20 | 2021-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-20 | 2021-05-26 | N |