A list of the most recent deficiencies for Via Christi Village Pittsburg Inc. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-02-14 | 2023-04-15 | 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 | 2023-02-14 | 2023-04-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-14 | 2023-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-14 | 2023-04-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-14 | 2023-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-14 | 2023-04-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-14 | 2023-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-14 | 2023-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-14 | 2023-04-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-14 | 2023-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-14 | 2023-04-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-19 | 2023-01-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-19 | 2023-01-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-19 | 2023-01-19 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-12-19 | 2023-01-19 | 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 | 2022-12-19 | 2023-01-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-19 | 2023-01-19 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-19 | 2023-01-19 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-12-19 | 2023-01-19 | Y |
| 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 | 2022-12-19 | 2023-01-19 | Y |
| 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 | 2022-12-19 | 2023-01-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-19 | 2023-01-19 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-12-29 | 2023-01-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-22 | 2022-06-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-13 | 2021-09-29 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-11 | 2021-07-09 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-06-11 | 2021-07-09 | 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 | 2021-06-11 | 2021-07-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-11 | 2021-07-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-06-11 | 2021-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-11 | 2021-07-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-06-11 | 2021-07-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-11 | 2021-07-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-11 | 2021-07-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-11 | 2021-07-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-11 | 2021-07-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-11 | 2021-06-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-11 | 2021-06-11 | 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 | 2021-05-13 | 2021-05-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-13 | 2021-05-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-13 | 2021-05-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-05-27 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-28 | 2019-09-29 | 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 | 2019-08-28 | 2019-09-29 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-28 | 2019-09-29 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-08-12 | 2019-09-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-12 | 2019-09-11 | 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 | 2019-08-12 | 2019-09-11 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-08-12 | 2019-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-12 | 2019-09-11 | 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 | 2019-08-12 | 2019-09-11 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-08-12 | 2019-09-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-12 | 2019-09-11 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-12 | 2019-09-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-12 | 2019-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-12 | 2019-09-11 | 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 | 2019-08-12 | 2019-09-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-12 | 2019-09-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-12 | 2019-09-11 | N |
| Post nurse staffing information every day. | Health | 2019-08-12 | 2019-09-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-12 | 2019-09-11 | 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 | 2019-08-12 | 2019-09-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-12 | 2019-09-11 | 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 | 2019-08-12 | 2019-09-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-12 | 2019-09-11 | N |
| Keep all essential equipment working safely. | Health | 2019-08-12 | 2019-09-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-08-28 | 2019-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-28 | 2019-08-28 | N |
