Deficiency Records for The Villas at The Park

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Updated as of March 01, 2024

A list of the most recent deficiencies for The Villas at The Park. 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 residents to self-administer drugs if determined clinically appropriate. Health 2023-11-09 2024-01-09 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-09 2024-01-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-09 2024-01-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-09 2024-01-09 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 2023-11-09 2024-01-09 N
Provide or obtain dental services for each resident. Health 2023-11-09 2024-01-09 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2023-11-09 2024-01-09 N
Keep all essential equipment working safely. Health 2023-11-09 2024-01-09 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-09 2024-01-09 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-11-09 2024-01-09 Y
Ensure that residents are free from significant medication errors. Health 2023-11-09 2024-01-09 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2023-11-09 2024-01-09 Y
Provide and implement an infection prevention and control program. Health 2023-11-09 2024-01-09 Y
Implement emergency and standby power systems. Fire Safety 2023-11-09 2024-01-09 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-11-08 2024-01-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-08 2024-01-09 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2023-11-08 2024-01-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-08 2024-01-09 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-05-05 2023-06-09 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-26 2023-03-21 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 2023-01-26 2023-03-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-26 2023-03-21 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-01-26 2023-03-21 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 2023-01-26 2023-03-21 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-01-26 2023-03-21 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 2023-01-26 2023-03-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-26 2023-03-21 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-01-26 2023-03-21 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-26 2023-03-21 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-01-26 2023-03-21 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-01-26 2023-03-21 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-24 2023-03-21 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-01-24 2023-03-21 N
Provide and implement an infection prevention and control program. Health 2022-08-24 2022-09-12 Y
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2022-08-11 2022-09-12 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-01-12 2022-02-01 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-10-14 2021-11-29 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-10-14 2021-11-29 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 2021-10-12 2021-11-29 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-10-12 2021-11-29 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2021-08-23 2021-09-17 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2021-08-10 2021-09-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-08-10 2021-09-17 Y
Ensure that residents are free from significant medication errors. Health 2021-06-29 2021-08-03 Y
Provide and implement an infection prevention and control program. Health 2021-06-29 2021-08-03 Y