Deficiency Records for The Villas at New Brighton
Updated as of January 01, 2020
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? |
---|---|---|---|---|
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-23 | 2019-11-12 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-18 | 2019-06-04 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-18 | 2019-06-04 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-04-18 | 2019-06-04 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-04-18 | 2019-06-04 | 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 | 2019-04-18 | 2019-06-04 | N |
Respond appropriately to all alleged violations. | Health | 2019-04-18 | 2019-06-04 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-18 | 2019-06-04 | 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 | 2019-04-18 | 2019-06-04 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-04-18 | 2019-06-04 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-04-18 | 2019-06-04 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-18 | 2019-06-04 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-18 | 2019-06-04 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-18 | 2019-06-04 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-06-04 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-28 | 2019-04-11 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-28 | 2019-04-11 | 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 | 2019-03-08 | 2019-04-02 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-03-08 | 2019-04-02 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-03-08 | 2019-04-02 | 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 | 2018-12-28 | 2019-02-19 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-28 | 2019-02-19 | Y |
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 | 2018-12-28 | 2019-02-19 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-28 | 2019-02-19 | Y |
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 |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2018-02-12 | 2018-03-14 | Y |
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 |