Deficiency Records for Village at The Greene
Updated as of April 01, 2022
This is not the most recent data for Village at The Greene. For the most recent information, click here.
A list of the most recent deficiencies for Village at The Greene. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-21 | 2022-01-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-08-26 | 2020-09-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-08-26 | 2020-09-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-30 | 2020-07-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-01-09 | 2020-02-27 | 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 |
| 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 and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-03 | 2020-02-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-03 | 2020-02-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-02-03 | 2020-02-27 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-06 | 2020-02-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-01-06 | 2020-02-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-06 | 2020-02-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-06 | 2020-02-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-06 | 2020-02-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-06 | 2020-02-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-22 | 2019-09-20 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-08-22 | 2019-09-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-08-22 | 2019-09-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-22 | 2019-09-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-22 | 2019-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-09-20 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-29 | 2019-01-14 | 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 | 2018-11-29 | 2019-01-14 | 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 | 2018-11-29 | 2019-01-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-29 | 2019-01-14 | 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 necessary and PRN use is limited. | Health | 2018-11-29 | 2019-01-14 | 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 | 2018-11-29 | 2019-01-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-11-29 | 2019-01-14 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-07 | 2017-10-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-07 | 2017-10-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-07 | 2017-10-13 | N |
