CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Frederick Villa Healthcare
View the most recent health deficiencies and inspection results for Frederick Villa Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Frederick Villa Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-03-23 | 2026-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-23 | 2026-04-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-23 | 2026-04-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-03-23 | 2026-04-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-23 | 2026-04-15 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-28 | 2025-10-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-08-28 | 2025-10-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-28 | 2025-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-28 | 2025-10-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-28 | 2025-10-25 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-08-28 | 2025-10-25 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2025-08-28 | 2025-10-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-28 | 2025-10-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-28 | 2025-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-28 | 2025-10-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-08-28 | 2025-10-25 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-08-28 | 2025-10-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-28 | 2025-10-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-28 | 2025-10-03 | N |
| 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 | 2025-08-28 | 2025-10-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-28 | 2025-10-03 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-28 | 2025-10-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-28 | 2025-10-03 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-08-28 | 2025-10-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-28 | 2025-10-03 | 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 | 2025-08-28 | 2025-10-03 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-08-28 | 2025-10-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-08-28 | 2025-10-03 | N |
| 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 | 2025-08-28 | 2025-10-03 | N |
| Provide or obtain dental services for each resident. | Health | 2025-08-28 | 2025-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-28 | 2025-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-28 | 2025-10-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-08-28 | 2025-10-03 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-08-28 | 2025-10-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-08-28 | 2025-10-03 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-08-28 | 2025-10-03 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-08-28 | 2025-10-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-28 | 2025-10-03 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-08-28 | 2025-10-03 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-08-28 | 2025-10-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-08-28 | 2025-10-03 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-08-28 | 2025-10-03 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-28 | 2025-10-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-08-28 | 2025-10-03 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-08-28 | 2025-10-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-28 | 2025-10-03 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Meet other general requirements. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-13 | 2023-07-05 | 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 | 2023-04-13 | 2023-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-13 | 2023-07-05 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-04-13 | 2023-06-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-13 | 2023-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-13 | 2023-06-12 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-13 | 2023-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-13 | 2023-06-12 | N |
| Post nurse staffing information every day. | Health | 2023-04-13 | 2023-06-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-04-13 | 2023-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-13 | 2023-06-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-13 | 2023-06-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-13 | 2023-06-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-13 | 2023-06-12 | 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 | 2023-04-13 | 2023-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-28 | 2019-07-11 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-05-28 | 2019-07-11 | N |
| 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 | 2019-05-28 | 2019-07-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-28 | 2019-07-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-05-28 | 2019-07-11 | 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 | 2019-05-28 | 2019-07-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-28 | 2019-07-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-05-28 | 2019-07-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-28 | 2019-07-11 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-28 | 2019-07-11 | 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 | 2019-05-28 | 2019-07-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-28 | 2019-07-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-28 | 2019-07-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-28 | 2019-07-11 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-05-28 | 2019-07-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-28 | 2019-07-11 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-05-28 | 2019-07-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-28 | 2019-06-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-05-28 | 2019-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-28 | 2019-06-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-28 | 2019-06-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-28 | 2019-06-14 | N |