A list of the most recent deficiencies for The Villa at Parkridge. 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 organize and participate in resident/family groups in the facility. | Health | 2024-02-01 | 2024-02-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-01 | 2024-02-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-02-01 | 2024-02-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-01 | 2024-02-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-01 | 2024-02-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-01 | 2024-02-23 | N |
| Provide appropriate foot care. | Health | 2024-02-01 | 2024-02-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-01 | 2024-02-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-24 | 2023-09-20 | 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 | 2023-08-24 | 2023-09-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-24 | 2023-09-20 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-24 | 2023-09-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-24 | 2023-09-20 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-23 | 2023-09-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-07 | 2023-03-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-07 | 2023-03-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-07 | 2023-03-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-07 | 2023-03-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-07 | 2023-03-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-07 | 2023-03-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-07 | 2023-03-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-07 | 2023-03-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-07 | 2023-03-04 | 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 | 2023-02-07 | 2023-03-04 | 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 | 2023-02-07 | 2023-03-04 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-07 | 2023-03-04 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-02-07 | 2023-03-04 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-11 | 2023-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-17 | 2022-12-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-05 | 2022-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-05 | 2022-09-01 | 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 | 2022-08-05 | 2022-09-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-05 | 2022-09-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-05 | 2022-09-01 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-05 | 2022-09-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-05 | 2022-09-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-02 | 2022-06-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-01 | 2022-06-09 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-02 | 2022-04-29 | 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 | 2022-02-01 | 2022-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-01 | 2022-04-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-01 | 2022-04-29 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-02-01 | 2022-03-01 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-02-01 | 2022-03-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-01 | 2022-03-01 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-02-01 | 2022-03-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-01 | 2022-03-01 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-02-01 | 2022-03-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-01 | 2022-03-01 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-10-18 | 2021-11-03 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-10-18 | 2021-11-03 | Y |
| Provide or obtain dental services for each resident. | Health | 2021-10-18 | 2021-11-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-13 | 2021-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-13 | 2021-08-05 | 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 | 2021-07-13 | 2021-08-05 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-26 | 2021-06-02 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-05-26 | 2021-06-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-26 | 2021-06-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-26 | 2021-06-02 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-26 | 2021-06-02 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-05-26 | 2021-06-02 | 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 | 2021-04-07 | 2021-05-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-07 | 2021-05-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-07 | 2021-05-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-07 | 2021-05-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-07 | 2021-05-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-07 | 2021-05-11 | 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 | 2021-04-07 | 2021-05-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-07 | 2021-05-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-04 | 2021-03-19 | Y |
