CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Villa Rosa Nursing and Rehabilitation, LLC
View the most recent health deficiencies and inspection results for Villa Rosa Nursing and Rehabilitation, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Villa Rosa Nursing and Rehabilitation, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-14 | 2026-02-14 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-14 | 2026-02-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-01-14 | 2026-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-14 | 2026-02-14 | Y |
| 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 | 2026-01-14 | 2026-02-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-01-14 | 2026-02-14 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2025-02-04 | 2025-05-29 | Y |
| 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 | 2025-02-04 | 2025-05-29 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-04 | 2025-04-21 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-04 | 2025-03-13 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-04 | 2025-03-13 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-04 | 2025-03-13 | Y |
| Meet other general requirements. | Fire Safety | 2025-02-04 | 2025-03-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-02-04 | 2025-03-13 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-02-04 | 2025-03-13 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-04 | 2025-03-13 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-31 | 2024-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-31 | 2024-10-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-31 | 2024-10-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-05-31 | 2024-10-28 | 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 | 2024-05-31 | 2024-10-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-05-31 | 2024-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-31 | 2024-10-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-31 | 2024-10-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-31 | 2024-10-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-05-31 | 2024-09-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-31 | 2024-09-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-31 | 2024-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-31 | 2024-07-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-05-31 | 2024-07-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-05-31 | 2024-07-22 | 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 | 2024-05-31 | 2024-07-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-05-31 | 2024-07-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-31 | 2024-07-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-31 | 2024-07-22 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-05-31 | 2024-07-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-31 | 2024-07-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-31 | 2024-07-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-31 | 2024-07-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-31 | 2024-07-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-31 | 2024-07-01 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2024-05-31 | 2024-07-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-31 | 2024-07-01 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-05-31 | 2024-07-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-31 | 2024-07-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-31 | 2024-07-01 | Y |
| 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 | 2024-05-31 | 2024-07-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-31 | 2024-07-01 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-05-31 | 2024-07-01 | N |
| Respond appropriately to all alleged violations. | Health | 2024-05-31 | 2024-07-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-31 | 2024-07-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-31 | 2024-07-01 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-05-31 | 2024-07-01 | 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 | 2024-05-31 | 2024-07-01 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-31 | 2024-07-01 | 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 | 2024-05-31 | 2024-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-31 | 2024-07-01 | N |
| Provide activities to meet all resident's needs. | Health | 2024-05-31 | 2024-07-01 | 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 | 2024-05-31 | 2024-07-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-31 | 2024-07-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-05-31 | 2024-07-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-31 | 2024-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-31 | 2024-07-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-10 | 2019-07-15 | 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 | 2019-05-10 | 2019-07-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-05-10 | 2019-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-10 | 2019-07-15 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | 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 policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | 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 |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | 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 |
| 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 |
| 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 |
| Provide safe, appropriate pain management for a resident who requires such services. | 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 |
| 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 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 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 |
| 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 |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-22 | 2018-01-22 | N |