Deficiency Records for Victoria Falls
Updated as of February 01, 2018
This is not the most recent data for Victoria Falls. For the most recent information, click here.
A list of the most recent deficiencies for Victoria Falls. 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? |
|---|---|---|---|---|
| Provide timely notification to the resident before transfer or discharge. | Health | 2016-08-31 | 2016-09-26 | Y |
| Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. | Health | 2016-08-31 | 2016-09-26 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-08-31 | 2016-09-26 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-06-10 | 2016-06-24 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-10 | 2016-06-24 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-10 | 2016-06-24 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-06-10 | 2016-06-24 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-10 | 2016-06-24 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-06-10 | 2016-06-24 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-10 | 2016-06-24 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-06-10 | 2016-06-24 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-02-09 | 2016-02-24 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-02-09 | 2016-02-24 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-09 | 2016-02-24 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-09 | 2016-02-24 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-02-09 | 2016-02-24 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-02-09 | 2016-02-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-10-09 | 2015-10-31 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-10-09 | 2015-10-31 | Y |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2015-10-09 | 2015-10-31 | Y |
| Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2015-10-09 | 2015-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-10-09 | 2015-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-25 | 2015-09-22 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-02-18 | 2015-06-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-02-18 | 2015-06-22 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-02-18 | 2015-06-22 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-02-18 | 2015-06-22 | Y |
| Evaluate a resident?s decrease in social interaction or increase in depressive behaviors and determine if the behavioral changes were avoidable if these problems did not exist before. | Health | 2015-02-18 | 2015-06-22 | Y |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-02-18 | 2015-06-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-05-15 | 2015-06-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-05-15 | 2015-06-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-15 | 2015-06-22 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2015-04-24 | 2015-06-22 | Y |
| Evaluate a resident?s decrease in social interaction or increase in depressive behaviors and determine if the behavioral changes were avoidable if these problems did not exist before. | Health | 2015-04-24 | 2015-06-22 | Y |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-04-24 | 2015-06-22 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2015-04-24 | 2015-06-22 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-02-18 | 2015-04-24 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-02-18 | 2015-04-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-02-18 | 2015-04-24 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-02-18 | 2015-04-24 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-04-07 | 2015-04-17 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-04-07 | 2015-04-17 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-04-07 | 2015-04-17 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-04-07 | 2015-04-17 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-04-07 | 2015-04-17 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2014-04-28 | 2014-05-23 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2014-04-28 | 2014-05-23 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-04-28 | 2014-05-23 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-04-28 | 2014-05-23 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-04-28 | 2014-05-23 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2014-04-28 | 2014-05-23 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-04-28 | 2014-05-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-04-28 | 2014-05-23 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-04-28 | 2014-05-23 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-04-28 | 2014-05-23 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-04-28 | 2014-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-04-28 | 2014-05-23 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2014-04-28 | 2014-05-23 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2014-04-28 | 2014-05-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-04-28 | 2014-05-23 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2014-04-28 | 2014-05-23 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2014-04-28 | 2014-05-23 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2014-04-28 | 2014-05-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-04-28 | 2014-05-23 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-04-09 | 2014-04-09 | N |
