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Deficiency Records for Village at The Greene
View the most recent health deficiencies and inspection results for Village at The Greene. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Village at The Greene. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2026-02-25 | 2026-03-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-25 | 2026-03-20 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-02-25 | 2026-03-20 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-02-25 | 2026-03-20 | 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 | 2025-02-28 | 2025-03-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-02-28 | 2025-03-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-02-28 | 2025-03-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-02-28 | 2025-03-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-28 | 2025-03-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-28 | 2025-03-21 | N |
| 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 | 2025-02-28 | 2025-03-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-28 | 2025-03-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-02-28 | 2025-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-28 | 2025-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-28 | 2025-03-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-28 | 2025-03-21 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-02-28 | 2025-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-28 | 2025-03-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-06 | 2025-01-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-06 | 2025-01-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-06 | 2025-01-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-06 | 2025-01-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-06 | 2024-12-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-17 | 2024-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-17 | 2024-08-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-17 | 2024-08-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-04 | 2024-04-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-16 | 2024-04-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-01 | 2023-08-21 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2022-12-13 | 2023-02-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-13 | 2023-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-13 | 2023-02-13 | N |
| 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 | 2022-12-13 | 2023-02-13 | 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 | 2022-12-13 | 2023-02-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-12-13 | 2023-02-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-13 | 2023-02-09 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-13 | 2023-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-13 | 2023-02-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-13 | 2023-02-09 | N |
| Provide appropriate foot care. | Health | 2022-12-13 | 2023-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-13 | 2023-02-09 | N |
| 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 | 2022-12-13 | 2023-02-09 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-12-13 | 2023-02-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-13 | 2023-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-13 | 2023-02-09 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-12-13 | 2023-02-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-12-13 | 2023-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-13 | 2023-02-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-13 | 2023-02-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-12-13 | 2023-02-09 | 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 | 2022-12-13 | 2023-02-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-13 | 2023-02-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-13 | 2023-02-09 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-12-13 | 2023-02-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-13 | 2023-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-13 | 2023-02-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-13 | 2023-02-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-01-09 | 2020-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-09 | 2020-02-27 | 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 | 2020-01-09 | 2020-02-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-09 | 2020-02-27 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-01-09 | 2020-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-09 | 2020-02-27 | N |
| 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 | 2020-01-09 | 2020-02-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-09 | 2020-02-27 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-01-09 | 2020-02-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-09 | 2020-02-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-01-09 | 2020-02-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-09 | 2020-02-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-09 | 2020-02-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-09 | 2020-02-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-12-13 | Not Fixed | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-12-13 | Not Fixed | N |