Deficiency Records for The Villas at St Paul
Updated as of November 01, 2021
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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-02 | 2021-10-14 | N |
| 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 | 2021-09-02 | 2021-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-02 | 2021-10-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-12 | 2021-05-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-07 | 2021-01-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-11-13 | 2020-12-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-05-08 | 2020-06-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-05 | 2019-05-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-05 | 2019-05-15 | 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 | 2019-04-05 | 2019-05-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-05 | 2019-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-05 | 2019-05-15 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-05 | 2019-05-15 | 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 | 2019-04-05 | 2019-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-05-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-05 | 2019-05-15 | N |
| Respond appropriately to all alleged violations. | Health | 2019-04-05 | 2019-05-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-05 | 2019-05-15 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-03 | 2019-05-15 | N |
| 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 necessary and PRN use is limited. | 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 |
