Deficiency Records for First Community Village Healthcare Ctr
Updated as of March 01, 2024
A list of the most recent deficiencies for First Community Village Healthcare Ctr. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-24 | 2023-09-08 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-24 | 2023-09-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-24 | 2023-09-08 | 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 | 2023-07-24 | 2023-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-24 | 2023-09-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-24 | 2023-09-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-24 | 2023-09-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-24 | 2023-09-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-24 | 2023-09-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-24 | 2023-09-08 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-07-24 | 2023-09-08 | N |
| 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 | 2023-07-24 | 2023-09-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-24 | 2023-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-24 | 2023-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-24 | 2023-09-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-07-24 | 2023-09-08 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-07-24 | 2023-09-08 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-17 | 2023-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-17 | 2023-09-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-17 | 2023-09-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-17 | 2023-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-17 | 2023-09-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-17 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-24 | 2023-03-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-14 | 2023-03-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-14 | 2023-03-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-07 | 2021-06-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-05 | 2020-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-03-02 | 2020-04-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-03-02 | 2020-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-02 | 2020-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-02 | 2020-04-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-02 | 2020-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-02 | 2020-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-02 | 2020-04-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-31 | 2019-03-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-31 | 2019-03-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-31 | 2019-03-08 | N |
| Respond appropriately to all alleged violations. | Health | 2019-01-31 | 2019-03-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-31 | 2019-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-31 | 2019-03-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-31 | 2019-03-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-31 | 2019-03-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-31 | 2019-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-31 | 2019-03-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-31 | 2019-03-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-30 | 2019-03-08 | N |
