Deficiency Records for The Villas at The Park
Updated as of November 01, 2018
This is not the most recent data for The Villas at The Park. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-04 | 2018-10-09 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-01-09 | 2018-02-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-01-12 | 2018-02-21 | 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 | 2018-01-12 | 2018-02-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-01-12 | 2018-02-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-01-12 | 2018-02-21 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-26 | 2017-09-14 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-26 | 2017-09-14 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-26 | 2017-09-14 | 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 | 2017-04-06 | 2017-05-16 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-04-06 | 2017-05-16 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-06 | 2017-05-16 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-06 | 2017-05-16 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-04-06 | 2017-05-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-04-06 | 2017-05-16 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-04-06 | 2017-05-16 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-04-06 | 2017-05-16 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-04-06 | 2017-05-16 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-04-06 | 2017-05-16 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-04-06 | 2017-05-16 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-04-06 | 2017-05-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-06 | 2017-05-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-06 | 2017-05-16 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-06-01 | 2016-08-23 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-06-01 | 2016-08-23 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-01 | 2016-08-23 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-01 | 2016-08-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-01 | 2016-08-23 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-05-24 | 2016-07-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-01 | 2016-07-11 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-01 | 2016-07-11 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-01 | 2016-07-11 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-06-01 | 2016-07-11 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-01 | 2016-07-11 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-01 | 2016-07-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-06-01 | 2016-07-11 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-01 | 2016-07-11 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-06-01 | 2016-07-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-01 | 2016-07-11 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-06-01 | 2016-07-11 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-06-01 | 2016-07-11 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-06-01 | 2016-07-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-06-01 | 2016-07-11 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-06-01 | 2016-07-11 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-01 | 2016-07-11 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-06-01 | 2016-07-11 | Y |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-24 | 2016-05-24 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-01-06 | 2016-01-18 | Y |
