A list of the most recent deficiencies for Las Ventanas Retirement Comm Snf. 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? |
|---|---|---|---|---|
| Establish staff and initial training requirements. | Fire Safety | 2023-08-24 | 2023-10-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-24 | 2023-10-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-24 | 2023-10-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-24 | 2023-10-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-24 | 2023-10-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-24 | 2023-10-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-24 | 2023-09-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-24 | 2023-09-27 | 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 | 2023-08-24 | 2023-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-09-27 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-12-20 | 2023-01-12 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-30 | 2022-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-01 | 2022-08-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-01 | 2022-08-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-01 | 2022-08-05 | Y |
| 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 | 2022-07-01 | 2022-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-05 | 2021-12-06 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-01-29 | 2020-03-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-30 | 2020-03-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-30 | 2020-03-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-01-30 | 2020-03-02 | 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 | 2020-01-30 | 2020-03-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-01-30 | 2020-03-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-29 | 2020-02-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-30 | 2020-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-30 | 2020-02-20 | N |
