A list of the most recent deficiencies for Via Christi Village Ridge. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-14 | 2022-12-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-11 | 2022-05-18 | 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 | 2022-04-11 | 2022-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-11 | 2022-05-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-11 | 2022-05-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-11 | 2022-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-11 | 2022-05-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-08 | 2022-04-07 | 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 | 2022-03-08 | 2022-04-07 | 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 | 2022-03-08 | 2022-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-08 | 2022-04-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-18 | 2021-06-16 | Y |
| Use approved construction type or materials. | Fire Safety | 2020-12-03 | 2020-12-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-12-03 | 2020-12-30 | 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 | 2020-12-03 | 2020-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-12-03 | 2020-12-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-12-03 | 2020-12-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-12-03 | 2020-12-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-12-03 | 2020-12-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-10-08 | 2020-11-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-20 | 2019-06-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-20 | 2019-06-19 | 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 | 2019-05-20 | 2019-06-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-20 | 2019-06-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-09 | 2019-05-03 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-04-09 | 2019-05-03 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-04-09 | 2019-05-03 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-04-09 | 2019-05-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-09 | 2019-05-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-09 | 2019-05-03 | 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 | 2019-04-09 | 2019-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-09 | 2019-05-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-09 | 2019-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-09 | 2019-05-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-09 | 2019-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-09 | 2019-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-09 | 2019-05-03 | N |
