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Deficiency Records for The Villa at West Branch
View the most recent health deficiencies and inspection results for The Villa at West Branch. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Villa at West Branch. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-22 | 2025-09-15 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-29 | 2025-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-29 | 2025-05-28 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-04-29 | 2025-05-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-29 | 2025-05-28 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-04-29 | 2025-05-28 | 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 | 2025-04-29 | 2025-05-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-29 | 2025-05-28 | 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 | 2025-04-29 | 2025-05-28 | 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 | 2025-04-29 | 2025-05-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-29 | 2025-05-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-29 | 2025-05-28 | 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 | 2025-04-29 | 2025-05-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-29 | 2025-05-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-09 | 2024-06-13 | 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 | 2024-05-09 | 2024-06-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-09 | 2024-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-09 | 2024-06-13 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-05-09 | 2024-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-09 | 2024-06-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-09 | 2024-06-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-09 | 2024-06-13 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-05-09 | 2024-06-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-09 | 2024-06-13 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-09 | 2024-06-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-09 | 2024-06-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-09 | 2024-06-13 | 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 | 2024-05-09 | 2024-06-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-09 | 2024-06-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-06 | 2023-08-08 | Y |
| Provide enough space and equipment to meet each resident's needs | Health | 2023-07-06 | 2023-08-08 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-07-06 | 2023-08-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-06 | 2023-08-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-06 | 2023-08-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-07 | 2023-07-14 | 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 | 2023-05-24 | 2023-07-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-24 | 2023-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-24 | 2023-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-24 | 2023-07-12 | 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 | 2023-05-24 | 2023-07-12 | 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 | 2023-05-24 | 2023-07-12 | N |
| Post nurse staffing information every day. | Health | 2023-05-24 | 2023-07-12 | 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 | 2023-05-24 | 2023-07-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-05-24 | 2023-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-24 | 2023-07-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-24 | 2023-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-07-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-24 | 2023-07-12 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-05-24 | 2023-07-12 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-05-24 | 2023-07-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-24 | 2023-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-24 | 2023-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-24 | 2023-07-12 | N |
| Meet other general requirements. | Fire Safety | 2023-05-24 | 2023-07-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-05-24 | 2023-07-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-24 | 2023-07-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-24 | 2023-07-12 | N |