A list of the most recent deficiencies for Villa Vista Royale LLC. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-12 | 2022-11-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-12 | 2022-11-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-12 | 2022-11-09 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-10-12 | 2022-11-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-12 | 2022-11-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-12 | 2022-11-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-12 | 2022-11-09 | 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 | 2022-10-12 | 2022-11-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-12 | 2022-11-09 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-10-12 | 2022-11-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-12 | 2022-11-09 | 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 | 2022-10-12 | 2022-11-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-12 | 2022-11-09 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-03 | 2022-11-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-03 | 2022-11-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-03 | 2022-11-09 | 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 | 2020-01-23 | 2020-02-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-23 | 2020-02-18 | 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 | 2020-01-23 | 2020-02-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-23 | 2020-02-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-23 | 2020-02-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-01-23 | 2020-02-18 | N |
| Provide or obtain dental services for each resident. | Health | 2020-01-23 | 2020-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-23 | 2020-02-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-23 | 2020-02-18 | 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 | 2020-01-22 | 2020-02-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-01-22 | 2020-02-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-22 | 2020-02-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-22 | 2020-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-22 | 2020-02-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-22 | 2020-02-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-22 | 2020-02-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-22 | 2020-02-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-21 | 2018-12-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-21 | 2018-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-21 | 2018-12-14 | N |
