A list of the most recent deficiencies for Regency, 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 | 2023-09-14 | 2023-10-12 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-14 | 2023-10-12 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-14 | 2023-10-12 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-14 | 2023-10-12 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-09-14 | 2023-10-12 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-14 | 2023-10-12 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-14 | 2023-10-12 | 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 | 2023-09-12 | 2023-10-09 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-09-12 | 2023-10-09 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-05-24 | 2023-06-02 | Y |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-04-03 | 2023-04-21 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-03 | 2023-04-21 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-03 | 2023-04-21 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-03 | 2022-11-23 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-11-03 | 2022-11-23 | Y |
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 | 2022-11-03 | 2022-11-23 | Y |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-11-03 | 2022-11-23 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-03 | 2022-11-23 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-14 | 2022-08-02 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-14 | 2022-08-02 | 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 | 2022-07-14 | 2022-08-02 | N |
Dispose of garbage and refuse properly. | Health | 2022-07-14 | 2022-08-02 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-14 | 2022-08-02 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-14 | 2022-08-02 | 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 | 2022-07-14 | 2022-08-02 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-14 | 2022-08-02 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-14 | 2022-08-02 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-13 | 2022-08-02 | N |
Have restrictions on the use of flammable curtains. | Fire Safety | 2022-07-13 | 2022-08-02 | N |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-03-09 | 2022-03-29 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-03-09 | 2022-03-29 | Y |
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-03-09 | 2022-03-29 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-09 | 2022-03-29 | 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 | 2022-03-09 | 2022-03-29 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-09 | 2022-03-29 | Y |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-03-09 | 2022-03-29 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-09 | 2022-03-29 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-09 | 2022-03-29 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-09 | 2022-03-29 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-09 | 2022-03-29 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-09 | 2022-03-29 | Y |
Provide or obtain dental services for each resident. | Health | 2022-03-09 | 2022-03-29 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-03-09 | 2022-03-29 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-09 | 2022-03-29 | Y |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-09 | 2022-03-29 | Y |
Keep all essential equipment working safely. | Health | 2022-03-09 | 2022-03-29 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-09 | 2022-03-29 | 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 | 2021-05-27 | 2021-06-11 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-27 | 2021-06-11 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-27 | 2021-06-11 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-27 | 2021-06-11 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-27 | 2021-06-11 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-27 | 2021-06-11 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-27 | 2021-06-11 | Y |
Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-05-27 | 2021-06-11 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-27 | 2021-06-11 | Y |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-05-27 | 2021-06-11 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-27 | 2021-06-11 | Y |
Have policies on smoking. | Health | 2021-05-27 | 2021-06-11 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-21 | 2021-06-11 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-21 | 2021-06-11 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-27 | 2021-05-27 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-21 | 2021-05-26 | N |
Provide and implement an infection prevention and control program. | Health | 2021-04-21 | 2021-05-26 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-21 | 2021-05-26 | Y |
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 | 2021-04-21 | 2021-05-17 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-04-21 | 2021-05-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-21 | 2021-05-17 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-21 | 2021-05-17 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-21 | 2021-05-17 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-21 | 2021-05-17 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-04-21 | 2021-05-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-21 | 2021-05-17 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-21 | 2021-05-17 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-04-21 | 2021-05-17 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-21 | 2021-05-17 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-21 | 2021-05-17 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-04-21 | 2021-05-17 | N |