Deficiency Records for The Villa at City Center
Updated as of August 01, 2021
This is not the most recent data for The Villa at City Center. For the most recent information, click here.
A list of the most recent deficiencies for The Villa at City 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-05-19 | 2021-05-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-05 | 2021-04-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-31 | 2021-04-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-06 | 2021-02-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-07-28 | 2020-08-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-07-28 | 2020-08-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-07-15 | 2020-08-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-15 | 2020-08-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-09 | 2020-02-14 | 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 | 2020-01-09 | 2020-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-09 | 2020-02-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-09 | 2020-02-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-09 | 2020-02-14 | N |
| Post nurse staffing information every day. | Health | 2020-01-09 | 2020-02-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-01-09 | 2020-02-14 | 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 | 2020-01-09 | 2020-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-09 | 2020-02-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-01-09 | 2020-02-14 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-09 | 2020-02-14 | 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 | 2019-03-27 | 2019-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-02 | 2019-01-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-25 | 2018-12-14 | 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 | 2018-10-25 | 2018-12-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-10-25 | 2018-12-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-25 | 2018-12-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-25 | 2018-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-25 | 2018-12-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-25 | 2018-12-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-25 | 2018-12-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-25 | 2018-12-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-25 | 2018-12-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-25 | 2018-12-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-25 | 2018-12-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-25 | 2018-12-14 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2018-10-25 | 2018-12-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-25 | 2018-11-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-10-25 | 2018-11-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-25 | 2018-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-25 | 2018-11-23 | 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 | 2018-10-25 | 2018-11-23 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-09-25 | 2017-10-16 | 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 | 2017-09-25 | 2017-10-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-09-25 | 2017-10-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-09-25 | 2017-10-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-25 | 2017-10-16 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-09-20 | 2017-10-16 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-20 | 2017-10-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-09-20 | 2017-10-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-20 | 2017-10-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-20 | 2017-10-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-20 | 2017-10-16 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-20 | 2017-10-16 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-09-20 | 2017-10-16 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-09-20 | 2017-10-16 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-09-20 | 2017-10-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-20 | 2017-10-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-20 | 2017-10-16 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2017-09-20 | 2017-10-16 | N |
