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 |