Deficiency Records for Villa St Vincent
Updated as of June 01, 2023
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? |
|---|---|---|---|---|
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-12-21 | 2023-01-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-21 | 2023-01-31 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-20 | 2022-09-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-21 | 2022-08-17 | 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 | 2022-07-21 | 2022-08-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-20 | 2022-08-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-20 | 2022-08-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-20 | 2022-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-20 | 2022-08-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-25 | 2022-06-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-25 | 2022-06-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-25 | 2022-06-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-13 | 2021-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-13 | 2021-09-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-23 | 2021-08-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-23 | 2021-08-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-23 | 2021-08-23 | Y |
| 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 |
| 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 |
| 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 |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | 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 |
