Deficiency Records for Villa Rosa Nursing and Rehabilitation, LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Villa Rosa Nursing and Rehabilitation, LLC. 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? |
|---|---|---|---|---|
| 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 | 2019-05-13 | 2019-07-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-05-13 | 2019-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-13 | 2019-07-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-13 | 2019-07-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-22 | 2018-01-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-22 | 2018-01-22 | 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 | 2017-12-22 | 2018-01-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-22 | 2018-01-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2017-12-22 | 2018-01-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-22 | 2018-01-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2017-12-22 | 2018-01-22 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2017-12-22 | 2018-01-22 | 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 | 2017-12-22 | 2018-01-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-22 | 2018-01-22 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2017-12-22 | 2018-01-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-22 | 2018-01-22 | N |
| Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | Health | 2017-12-22 | 2018-01-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-22 | 2018-01-22 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2017-12-22 | 2018-01-22 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-09-16 | 2016-10-21 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-16 | 2016-10-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-16 | 2016-10-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-16 | 2016-10-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-09-16 | 2016-10-21 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-09-16 | 2016-10-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-09-16 | 2016-10-21 | N |
