Deficiency Records for The Villas at New Brighton
Updated as of September 01, 2018
This is not the most recent data for The Villas at New Brighton. For the most recent information, click here.
A list of the most recent deficiencies for The Villas at New Brighton. 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? |
---|---|---|---|---|
Provide properly protected cooking facilities. | Fire Safety | 2018-01-30 | 2018-03-14 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-30 | 2018-03-14 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-30 | 2018-03-14 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-02 | 2018-03-14 | N |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-02-02 | 2018-03-14 | 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 | 2018-02-02 | 2018-03-14 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-02-02 | 2018-03-14 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-02 | 2018-03-14 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-02 | 2018-03-14 | 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 | 2018-02-02 | 2018-03-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-02 | 2018-03-14 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-02 | 2018-03-14 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-02-02 | 2018-03-14 | 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 | 2018-02-02 | 2018-03-14 | 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 | 2018-02-02 | 2018-03-14 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-06-08 | 2017-07-19 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-06-08 | 2017-07-19 | 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 | 2017-06-09 | 2017-07-19 | 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 | 2017-06-09 | 2017-07-19 | N |
Provide housekeeping and maintenance services. | Health | 2017-06-09 | 2017-07-19 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-09 | 2017-07-19 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-09 | 2017-07-19 | N |
Allow residents to self-administer drugs if determined safe. | Health | 2017-06-09 | 2017-07-19 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-09 | 2017-07-19 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-06-09 | 2017-07-19 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-09 | 2017-07-19 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-09 | 2017-07-19 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2017-02-22 | 2017-03-15 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-01 | 2016-09-10 | Y |
Corridor and hallway doors that block smoke. | Fire Safety | 2016-05-17 | 2016-06-30 | N |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-05-17 | 2016-06-30 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-05-17 | 2016-06-30 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-19 | 2016-06-28 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-19 | 2016-06-28 | N |