Deficiency Records for The Villas at The Park
Updated as of August 01, 2019
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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-07 | 2019-03-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-15 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-07 | 2019-03-15 | Y |
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 | 2019-02-07 | 2019-03-15 | Y |
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2019-02-07 | 2019-03-15 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-04 | 2018-11-13 | 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 | 2018-10-04 | 2018-11-13 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-04 | 2018-11-13 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-04 | 2018-11-13 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-04 | 2018-11-13 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-04 | 2018-11-13 | 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 | 2018-10-04 | 2018-11-13 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-04 | 2018-11-13 | 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 | 2018-10-04 | 2018-11-13 | 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 | 2018-10-04 | 2018-11-13 | N |
Post nurse staffing information every day. | Health | 2018-10-04 | 2018-11-13 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-04 | 2018-11-13 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-04 | 2018-11-13 | 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 ne | Health | 2018-10-04 | 2018-11-13 | 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 | 2018-10-04 | 2018-11-13 | 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 | 2018-10-04 | 2018-11-13 | N |
Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-11-13 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-04 | 2018-11-13 | N |
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 |