Deficiency Records for The Villa at Parkridge
Updated as of February 01, 2022
This is not the most recent data for The Villa at Parkridge. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-07 | 2021-06-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-07 | 2021-06-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-07 | 2021-06-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-04-07 | 2021-06-02 | 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 |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-04-07 | 2021-05-11 | 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 | 2021-04-07 | 2021-05-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-04-07 | 2021-05-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-04-07 | 2021-05-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-04-07 | 2021-05-11 | 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 | 2021-04-07 | 2021-05-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-07 | 2021-05-11 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-04-07 | 2021-05-11 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-07 | 2021-05-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-07 | 2021-05-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-07 | 2021-05-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-07 | 2021-05-11 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-04-07 | 2021-05-11 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-04-07 | 2021-05-11 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | 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 |
| Provide or obtain dental services for each resident. | Health | 2021-04-07 | 2021-05-11 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-04-07 | 2021-05-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-07 | 2021-05-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-04-07 | 2021-05-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | 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 |
| 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 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-25 | 2021-02-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-01-25 | 2021-02-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-08-25 | 2020-09-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-07-21 | 2020-09-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-07-21 | 2020-09-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-07-21 | 2020-09-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-07-21 | 2020-09-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-07-21 | 2020-09-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-07-21 | 2020-09-11 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-07-21 | 2020-09-11 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-07-21 | 2020-09-11 | 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 | 2020-07-21 | 2020-09-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-07-21 | 2020-09-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-05-13 | 2020-06-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-10 | 2020-02-14 | Y |
| Implement a program that monitors antibiotic use. | Health | 2019-12-10 | 2020-02-14 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-01-10 | 2020-01-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-10 | 2020-01-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-10 | 2020-01-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-01-10 | 2020-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-10 | 2020-01-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-01-10 | 2020-01-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-12-10 | 2020-01-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-10 | 2020-01-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-19 | 2019-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-19 | 2019-10-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-19 | 2019-10-14 | 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 | 2019-09-19 | 2019-10-14 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-09-19 | 2019-10-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-31 | 2019-08-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-31 | 2019-08-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-31 | 2019-08-30 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-06-20 | 2019-07-16 | 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 | 2019-06-11 | 2019-07-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-11 | 2019-07-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-07 | 2019-05-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-16 | 2019-04-29 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-03-27 | 2019-04-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-27 | 2019-04-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-12 | 2019-03-19 | N |
| Respond appropriately to all alleged violations. | Health | 2019-02-12 | 2019-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-12 | 2019-03-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-12 | 2019-03-19 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-12 | 2019-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-12 | 2019-03-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-12 | 2019-03-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-02-12 | 2019-03-19 | 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 | 2019-02-12 | 2019-03-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-12 | 2019-03-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-12 | 2019-03-19 | 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 | 2019-02-12 | 2019-03-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-12 | 2019-03-19 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-02-12 | 2019-03-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-02-12 | 2019-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-12 | 2019-03-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-02-12 | 2019-03-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-12 | 2019-03-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-12 | 2019-03-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-12 | 2019-03-19 | 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 | 2018-01-11 | 2018-02-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-01-11 | 2018-02-12 | N |
| 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 | 2018-01-11 | 2018-02-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-01-11 | 2018-02-12 | 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 | 2018-01-11 | 2018-02-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-11 | 2018-02-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-11 | 2018-02-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-01-11 | 2018-02-12 | 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 | 2018-01-11 | 2018-02-12 | 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 | 2018-01-11 | 2018-02-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-01-11 | 2018-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-11 | 2018-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-11 | 2018-02-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-01-11 | 2018-02-12 | N |
| Keep all essential equipment working safely. | Health | 2018-01-11 | 2018-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-09 | 2018-02-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-09 | 2018-02-12 | N |
