Deficiency Records for The Villas at St Paul
Updated as of December 01, 2018
This is not the most recent data for The Villas at St Paul. For the most recent information, click here.
A list of the most recent deficiencies for The Villas at St Paul. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-06-07 | 2018-07-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-07 | 2018-07-31 | 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 | 2018-06-07 | 2018-07-31 | 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 | 2018-06-07 | 2018-07-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-07 | 2018-07-31 | 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 | 2018-06-07 | 2018-07-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-06-07 | 2018-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-07 | 2018-07-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-06-07 | 2018-07-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-05 | 2018-06-29 | 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 | 2017-07-31 | 2017-08-31 | 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 | 2017-07-31 | 2017-08-31 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-08-02 | 2017-08-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-02 | 2017-08-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-03 | 2017-08-25 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-08-03 | 2016-09-13 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-08-03 | 2016-09-13 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-04 | 2016-09-13 | N |
| Maintain comfortable sound levels. | Health | 2016-08-04 | 2016-09-13 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-08-04 | 2016-09-13 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2016-08-04 | 2016-09-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-04 | 2016-09-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-04 | 2016-09-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-08-04 | 2016-09-13 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-04 | 2016-09-13 | Y |
| 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 | 2016-08-04 | 2016-09-13 | Y |
