Deficiency Records for Villa St Vincent

(Home page)

Updated as of July 01, 2021

This is not the most recent data for Villa St Vincent. For the most recent information, click here.

A list of the most recent deficiencies for Villa St Vincent. 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-03-17 2021-04-17 Y
Ensure proper usage of power strips and extension cords. Fire Safety 2020-01-15 2020-02-15 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 2020-01-17 2020-02-10 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 2020-01-17 2020-02-10 N
Provide and implement an infection prevention and control program. Health 2020-01-17 2020-02-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2020-01-15 2020-02-07 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2020-01-15 2020-01-15 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-02-13 2019-03-27 N
Construct fire resistant interior walls. Fire Safety 2019-02-13 2019-03-27 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-02-13 2019-03-27 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-02-13 2019-03-27 N
Provide a written emergency evacuation plan. Fire Safety 2019-02-13 2019-03-27 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-02-15 2019-03-27 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 2019-02-15 2019-03-27 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 2019-02-15 2019-03-27 N
Ensure that residents are free from significant medication errors. Health 2019-02-15 2019-03-27 N
Provide and implement an infection prevention and control program. Health 2019-02-15 2019-03-27 N
Implement a program that monitors antibiotic use. Health 2019-02-15 2019-03-27 N
Have a correctly designed non-healthcare occupancy area in a health care facility. Fire Safety 2019-02-13 2019-03-22 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-02-13 2019-03-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-02-13 2019-03-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-11-15 2018-12-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-11-15 2018-12-20 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2018-01-12 2018-03-08 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2018-01-12 2018-03-08 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 2018-01-12 2018-03-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-01-12 2018-03-08 N
Assist a resident in gaining access to vision and hearing services. Health 2018-01-12 2018-03-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-01-12 2018-03-08 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-01-16 2018-02-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-01-16 2018-02-07 N