A list of the most recent deficiencies for Senior Village Healthcare. 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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2022-04-26 | 2022-06-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-26 | 2022-06-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-04-26 | 2022-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-26 | 2022-06-17 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-04-26 | 2022-06-17 | 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 | 2022-04-26 | 2022-06-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-26 | 2022-06-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-26 | 2022-06-17 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-04-26 | 2022-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-26 | 2022-06-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-26 | 2022-06-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-04-21 | 2022-06-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-21 | 2022-06-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-21 | 2022-06-17 | N |
| Have an externally vented heating system. | Fire Safety | 2022-04-21 | 2022-06-17 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-05-13 | 2021-05-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-13 | 2021-05-28 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-05-11 | 2021-05-18 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-05-11 | 2021-05-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-11 | 2021-05-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-13 | 2020-07-29 | Y |
