Deficiency Records for The Villas at Osseo LLC

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Updated as of March 01, 2024

A list of the most recent deficiencies for The Villas at Osseo LLC. 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?
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-09-07 2023-10-13 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 2023-09-07 2023-10-13 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-07 2023-10-13 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2023-09-07 2023-10-13 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 2023-09-07 2023-10-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-07 2023-10-13 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-09-07 2023-10-13 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-09-06 2023-10-13 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 2023-09-06 2023-10-13 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-09-06 2023-10-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-09-06 2023-10-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-09-06 2023-10-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-09-06 2023-10-13 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-06-22 2023-07-14 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-03-31 2023-04-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-29 2022-12-16 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-08-31 2022-10-12 Y
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 2022-08-31 2022-10-12 N
Provide activities to meet all resident's needs. Health 2022-08-31 2022-10-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-31 2022-10-12 N
Post nurse staffing information every day. Health 2022-08-31 2022-10-12 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-08-31 2022-10-12 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 2022-08-31 2022-10-12 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-08-31 2022-10-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-31 2022-10-12 N
Provide and implement an infection prevention and control program. Health 2022-08-31 2022-10-12 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-08-31 2022-10-12 N
Put firmly secured handrails on each side of hallways. Health 2022-08-31 2022-10-12 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-08-31 2022-10-12 N
Install an approved automatic sprinkler system. Fire Safety 2022-09-14 2022-10-12 N
Ensure proper storage of liquid oxygen. Fire Safety 2022-09-14 2022-10-12 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-07-21 2022-08-15 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-01-26 2022-03-24 Y
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2022-01-26 2022-03-09 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-06-24 2021-08-10 N
Ensure each resident receives an accurate assessment. Health 2021-06-24 2021-08-10 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-06-24 2021-08-10 N
Provide activities to meet all resident's needs. Health 2021-06-24 2021-08-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-06-24 2021-08-10 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 2021-06-24 2021-08-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-24 2021-08-10 N
Provide and implement an infection prevention and control program. Health 2021-06-24 2021-08-10 N