A list of the most recent deficiencies for The Village at Germantown. 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-09-22 | 2022-10-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-22 | 2022-10-17 | 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 | 2022-09-22 | 2022-10-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-22 | 2022-10-17 | 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 | 2022-09-22 | 2022-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-22 | 2022-10-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-12 | 2019-09-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-08-12 | 2019-09-27 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2019-08-14 | 2019-09-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-14 | 2019-09-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-14 | 2019-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-14 | 2019-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-14 | 2019-09-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-12 | 2019-09-17 | 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 | 2019-08-12 | 2019-08-22 | N |
| Meet other general requirements. | Fire Safety | 2018-10-03 | 2018-12-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-03 | 2018-11-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-03 | 2018-11-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-03 | 2018-11-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-10-03 | 2018-10-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-03 | 2018-10-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-03 | 2018-10-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-10-03 | 2018-10-10 | N |
