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 |
