A list of the most recent deficiencies for Village Health and Rehabilitation. 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 each resident receives an accurate assessment. | Health | 2023-07-20 | 2023-08-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-20 | 2023-08-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-20 | 2023-08-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-20 | 2023-08-17 | Y |
| 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 | 2023-07-26 | 2023-08-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-07-26 | 2023-08-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-07-26 | 2023-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-26 | 2023-08-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-26 | 2023-08-17 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-07-26 | 2023-08-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-14 | 2023-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-14 | 2023-04-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-14 | 2023-04-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-14 | 2023-04-20 | Y |
| 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 | 2022-07-07 | 2022-08-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-07-07 | 2022-08-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-07 | 2022-08-18 | 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 | 2022-07-07 | 2022-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-07 | 2022-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-07 | 2022-08-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-07 | 2022-08-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-12 | 2022-08-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-12 | 2022-08-18 | 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 | 2022-07-12 | 2022-08-18 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-07-12 | 2022-08-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-12 | 2022-08-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-12 | 2022-08-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-12 | 2022-08-18 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-07-12 | 2022-08-18 | 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 | 2021-05-27 | 2021-06-25 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-05-27 | 2021-06-25 | 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 | 2021-05-27 | 2021-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-27 | 2021-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-06-25 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-01 | 2021-06-25 | 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 | 2021-06-01 | 2021-06-25 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-01 | 2021-06-25 | N |
