Deficiency Records for Victoria Falls
Updated as of April 01, 2019
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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2018-03-21 | 2018-04-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-21 | 2018-04-25 | N |
| 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 | 2018-03-21 | 2018-04-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-21 | 2018-04-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-21 | 2018-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-21 | 2018-04-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-03-21 | 2018-04-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-21 | 2018-04-25 | 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 | 2018-03-21 | 2018-04-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-21 | 2018-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-21 | 2018-04-25 | Y |
| 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 | 2018-03-21 | 2018-04-25 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-03-21 | 2018-04-25 | 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 | 2018-03-21 | 2018-04-25 | 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 | 2018-03-21 | 2018-04-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-21 | 2018-04-25 | 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 | 2018-03-21 | 2018-04-25 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-03-21 | 2018-04-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-07 | 2018-02-20 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-07-10 | 2017-08-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-10 | 2017-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-10 | 2017-07-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-07-10 | 2017-07-19 | 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 | 2017-07-10 | 2017-07-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-07-10 | 2017-07-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-07-10 | 2017-07-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-10 | 2017-07-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-07-10 | 2017-07-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-07-10 | 2017-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-07-10 | 2017-07-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-10 | 2017-07-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-07-10 | 2017-07-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-07-10 | 2017-07-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-10 | 2017-07-13 | N |
| Use approved construction type or materials. | Fire Safety | 2017-07-10 | 2017-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-10 | 2017-07-10 | N |
| 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 |
| 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 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-02-18 | 2015-06-22 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-02-18 | 2015-06-22 | N |
| 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 | N |
| 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 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-02-18 | 2015-06-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | 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 | 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 |
| 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 | N |
| 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 |
