Deficiency Records for Villa Rosa Nursing and Rehabilitation, LLC
Updated as of October 01, 2020
This is not the most recent data for Villa Rosa Nursing and Rehabilitation, LLC. For the most recent information, click here.
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? |
---|---|---|---|---|
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 | 2020-02-21 | 2020-03-20 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-10 | 2020-02-14 | Y |
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 | 2020-01-10 | 2020-02-14 | Y |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-10 | 2020-02-14 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-18 | 2019-05-24 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-18 | 2019-05-24 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-18 | 2019-05-24 | 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 | 2019-04-18 | 2019-05-24 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-18 | 2019-05-24 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-04-18 | 2019-05-24 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-12-06 | 2019-01-08 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-16 | 2018-08-15 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 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 |
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 |
Ensure each resident receives an accurate assessment. | Health | 2017-12-22 | 2018-01-22 | 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 | 2017-12-22 | 2018-01-22 | Y |
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 | Y |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-10-03 | 2017-10-20 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-05 | 2017-10-04 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-05 | 2017-10-04 | Y |
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 |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-08-27 | Not Fixed | Y |