Deficiency Records for The Villages at Southern Hills
Updated as of September 01, 2016
This is not the most recent data for The Villages at Southern Hills. For the most recent information, click here.
A list of the most recent deficiencies for The Villages at Southern Hills. 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? |
|---|---|---|---|---|
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-04-20 | 2016-04-22 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-20 | 2016-04-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-02 | 2016-03-01 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-03-12 | 2015-04-13 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-03-12 | 2015-04-13 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-03-12 | 2015-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-12 | 2015-04-13 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-03-12 | 2015-04-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-12 | 2015-04-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-02-17 | 2015-03-12 | 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 | 2014-09-08 | 2014-09-12 | 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 | 2014-09-08 | 2014-09-12 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-01-24 | 2014-02-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-01-24 | 2014-02-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-01-24 | 2014-02-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-01-24 | 2014-02-24 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-01-24 | 2014-02-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-01-24 | 2014-02-24 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-01-21 | 2014-02-24 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-01-21 | 2014-02-24 | N |
