Deficiency Records for First Community Village Healthcare Ctr
Updated as of December 01, 2018
This is not the most recent data for First Community Village Healthcare Ctr. For the most recent information, click here.
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? |
---|---|---|---|---|
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-25 | 2018-07-20 | Y |
Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
Be properly staffed | Fire Safety | 2018-04-03 | 2018-05-15 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-04-05 | 2018-05-15 | 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 | 2018-04-05 | 2018-05-15 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-05 | 2018-05-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-05 | 2018-05-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-05 | 2018-05-15 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-04-05 | 2018-05-15 | 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 ne | Health | 2018-04-05 | 2018-05-15 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-05 | 2018-05-15 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-01 | 2017-10-31 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-25 | 2017-06-26 | Y |
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 | 2017-02-14 | 2017-03-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-02-14 | 2017-03-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-14 | 2017-03-22 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-02-14 | 2017-03-22 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-15 | 2017-03-22 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-15 | 2017-03-22 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-15 | 2017-03-22 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-15 | 2017-03-22 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-02-15 | 2017-03-22 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-15 | 2017-03-22 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-15 | 2017-03-22 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-02 | 2017-03-22 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-08 | 2016-12-06 | Y |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-09-06 | 2016-10-04 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-09-06 | 2016-10-04 | Y |
Post nurse staffing information/data on a daily basis. | Health | 2016-09-06 | 2016-10-04 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-07 | 2016-06-17 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-07 | 2016-06-17 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-05-06 | 2016-06-17 | Y |
Try to resolve each resident's complaints quickly. | Health | 2016-05-06 | 2016-06-17 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-06 | 2016-06-17 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-05-06 | 2016-06-17 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-06 | 2016-06-17 | Y |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-06 | 2016-06-17 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-06 | 2016-06-17 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-17 | 2016-03-18 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2016-02-17 | 2016-03-18 | Y |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-02-17 | 2016-03-18 | Y |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-02-17 | 2016-03-18 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-17 | 2016-03-18 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-02-04 | 2016-03-18 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-02-04 | 2016-03-18 | Y |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-06 | 2015-12-31 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-11-06 | 2015-12-31 | N |
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-11-06 | 2015-12-31 | N |
Proper medical gas storage and administration areas. | Fire Safety | 2015-11-06 | 2015-12-31 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-11-05 | 2015-12-31 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-11-05 | 2015-12-31 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-11-05 | 2015-12-31 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-05 | 2015-12-31 | N |
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2015-11-05 | 2015-12-31 | N |
Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2015-11-05 | 2015-12-31 | N |