A list of the most recent deficiencies for Ambassador, A Villa Center. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-08-17 | 2023-09-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-17 | 2023-09-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-17 | 2023-09-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-17 | 2023-09-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-17 | 2023-09-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-08-17 | 2023-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-09-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-17 | 2023-09-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-09-14 | 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 | 2023-08-17 | 2023-09-14 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-08-17 | 2023-09-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-17 | 2023-09-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-17 | 2023-09-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-17 | 2023-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-17 | 2023-09-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-17 | 2023-09-14 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-08-17 | 2023-09-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-17 | 2023-09-14 | 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 | 2023-08-17 | 2023-09-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-17 | 2023-09-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-17 | 2023-09-14 | Y |
| 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 | 2023-08-17 | 2023-09-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-17 | 2023-09-14 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-08-22 | 2023-09-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-22 | 2023-09-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-22 | 2023-09-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-22 | 2023-09-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-28 | 2022-07-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-28 | 2022-07-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-28 | 2022-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-28 | 2022-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-28 | 2022-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-28 | 2022-07-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-06-28 | 2022-07-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-28 | 2022-07-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-24 | 2022-07-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-21 | 2021-08-12 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-07-21 | 2021-08-12 | Y |
| Provide or obtain dental services for each resident. | Health | 2021-07-21 | 2021-08-12 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-07-21 | 2021-08-12 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-07-21 | 2021-08-12 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-06 | 2021-06-01 | 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 | 2021-04-06 | 2021-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-06 | 2021-06-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-06 | 2021-05-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-06 | 2021-05-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-06 | 2021-05-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-06 | 2021-05-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-07 | 2021-05-11 | 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 | 2021-04-07 | 2021-05-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-07 | 2021-05-11 | 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 | 2021-04-07 | 2021-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-07 | 2021-05-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-04-07 | 2021-05-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-07 | 2021-05-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-07 | 2021-05-11 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-04-06 | 2021-05-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-04-06 | 2021-05-07 | N |
