A list of the most recent deficiencies for Inn at Quail Haven Village. 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? |
|---|---|---|---|---|
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-03-23 | 2023-04-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-23 | 2023-04-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-23 | 2023-04-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-23 | 2023-04-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-23 | 2023-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-04-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-23 | 2023-04-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-23 | 2023-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-23 | 2023-04-11 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-03-23 | 2023-04-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-23 | 2023-04-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-23 | 2023-04-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-23 | 2023-04-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-23 | 2023-04-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-25 | 2021-09-09 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-08-25 | 2021-09-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-25 | 2021-09-09 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-08-25 | 2021-09-08 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-08-25 | 2021-09-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-25 | 2021-09-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-25 | 2021-09-02 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-25 | 2019-12-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-25 | 2019-12-13 | 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 | 2019-10-31 | 2019-11-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-31 | 2019-11-19 | 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 | 2019-10-31 | 2019-11-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-31 | 2019-11-19 | N |
| Post nurse staffing information every day. | Health | 2019-10-31 | 2019-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-31 | 2019-11-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-31 | 2019-11-19 | N |
