A list of the most recent deficiencies for Village Care Center Inc. 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? |
|---|---|---|---|---|
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-03-11 | 2022-04-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-03-11 | 2022-04-25 | 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 | 2022-03-11 | 2022-04-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-11 | 2022-04-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-11 | 2022-04-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-11 | 2022-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-11 | 2022-04-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-11 | 2022-04-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-11 | 2022-04-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-11 | 2022-04-25 | 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 | 2022-03-11 | 2022-04-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-11 | 2022-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-11 | 2022-04-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-03-11 | 2022-04-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-11 | 2022-04-25 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-03-11 | 2022-04-25 | 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 | 2022-03-11 | 2022-04-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-11 | 2022-04-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-11 | 2022-04-25 | 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 | 2022-03-11 | 2022-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-11 | 2022-04-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-11 | 2022-04-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-11 | 2022-04-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-11 | 2022-04-25 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-03-11 | 2022-04-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-11 | 2022-04-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-11 | 2022-04-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-11 | 2022-04-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-27 | 2019-05-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-27 | 2019-05-10 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-03-27 | 2019-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-27 | 2019-05-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-03-27 | 2019-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-27 | 2019-05-10 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2019-03-27 | 2019-05-10 | 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 | 2019-03-27 | 2019-05-10 | 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 | 2019-03-27 | 2019-05-10 | 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 | 2019-03-27 | 2019-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-27 | 2019-05-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-27 | 2019-05-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-27 | 2019-05-10 | N |
