A list of the most recent deficiencies for Vivian Healthcare Center. 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? |
---|---|---|---|---|
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-02 | 2023-09-15 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-16 | 2023-08-23 | 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 | 2023-02-02 | 2023-03-01 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-01-18 | 2023-02-06 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-10 | 2023-01-27 | 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 | 2023-01-10 | 2023-01-27 | 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 | 2022-02-16 | 2022-03-18 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-16 | 2022-03-18 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-16 | 2022-03-18 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-17 | 2022-03-14 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-02-17 | 2022-03-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-17 | 2022-02-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-22 | 2020-11-20 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-10-22 | 2020-11-20 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-22 | 2020-11-20 | 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 | 2020-10-22 | 2020-11-20 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-10-22 | 2020-11-20 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-10-22 | 2020-11-20 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-10-22 | 2020-11-20 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-17 | Not Fixed | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-10-22 | Not Fixed | N |