A list of the most recent deficiencies for The Villas at Richfield. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-27 | 2024-01-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-21 | 2023-11-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-21 | 2023-11-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-09-21 | 2023-11-01 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-09-21 | 2023-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-21 | 2023-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-21 | 2023-11-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-09-21 | 2023-11-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-21 | 2023-11-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-21 | 2023-11-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-21 | 2023-11-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-21 | 2023-11-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-04 | 2022-03-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-22 | 2022-01-18 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-09-30 | 2021-11-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-09-30 | 2021-11-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-09-30 | 2021-11-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-30 | 2021-11-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-09-30 | 2021-11-23 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-09-30 | 2021-11-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-30 | 2021-11-23 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-09-30 | 2021-11-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-30 | 2021-11-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-30 | 2021-11-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-30 | 2021-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-30 | 2021-11-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-30 | 2021-11-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-30 | 2021-11-23 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-09-30 | 2021-11-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-30 | 2021-11-23 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2021-09-30 | 2021-11-23 | N |
| Respond appropriately to all alleged violations. | Health | 2021-04-19 | 2021-05-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-19 | 2021-05-20 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-19 | 2021-05-20 | Y |
| Report COVID19 data to residents and families. | Health | 2021-04-19 | 2021-05-20 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-04-19 | 2021-05-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-29 | 2019-10-09 | 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 | 2019-08-29 | 2019-10-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-29 | 2019-10-09 | 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 | 2019-08-29 | 2019-10-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-08-29 | 2019-10-09 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-29 | 2019-10-09 | N |
| Provide appropriate foot care. | Health | 2019-08-29 | 2019-10-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-29 | 2019-10-09 | 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 | 2019-08-29 | 2019-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-29 | 2019-10-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-29 | 2019-10-09 | N |
