Deficiency Records for English Village Skilled Nursing and Therapy
Updated as of February 01, 2021
This is not the most recent data for English Village Skilled Nursing and Therapy. For the most recent information, click here.
A list of the most recent deficiencies for English Village Skilled Nursing and Therapy. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-12-30 | 2021-01-11 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-14 | 2019-07-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-05-14 | 2019-06-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-05-14 | 2019-06-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-14 | 2019-06-21 | N |
| Be properly staffed | Fire Safety | 2019-05-14 | 2019-06-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-21 | 2019-06-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-05-21 | 2019-06-21 | 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 | 2019-05-21 | 2019-06-21 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-24 | 2018-08-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-24 | 2018-08-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-24 | 2018-08-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-24 | 2018-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-24 | 2018-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-24 | 2018-08-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-24 | 2018-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-31 | 2018-08-31 | 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 | 2018-07-31 | 2018-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-31 | 2018-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-31 | 2018-08-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-05-24 | 2017-07-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-25 | 2017-06-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-05-24 | 2017-06-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-05-24 | 2017-06-23 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-25 | 2017-06-22 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-25 | 2017-06-22 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-05-25 | 2017-06-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-25 | 2017-06-22 | N |
