A list of the most recent deficiencies for Victoria Haven Nursing Facility. 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-10-21 | 2022-11-18 | 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 | 2022-10-21 | 2022-11-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-21 | 2022-11-18 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-10-21 | 2022-11-18 | N |
| 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 | 2022-10-21 | 2022-11-18 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-10-21 | 2022-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-21 | 2022-11-18 | N |
| Report COVID19 data to residents and families. | Health | 2022-10-21 | 2022-11-18 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-10-21 | 2022-11-18 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-10-03 | 2019-10-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-03 | 2019-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-03 | 2019-10-11 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-11-08 | 2018-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-08 | 2018-11-16 | N |
