Deficiency Records for The Village at Germantown

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Updated as of September 01, 2019

This is not the most recent data for The Village at Germantown. For the most recent information, click here.

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?
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-01-11 2018-01-25 Y
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 2017-10-03 2017-11-06 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2017-10-05 2017-11-06 Y
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2017-01-10 2017-02-06 Y
Walls that prevent smoke from passing through and would resist fire for at least one hour. Fire Safety 2016-07-11 2016-10-20 N
A two-hour-resistant firewall separation. Fire Safety 2016-07-11 2016-08-12 N
Proper backup exit lighting. Fire Safety 2016-07-11 2016-08-12 N
A written emergency evacuation plan. Fire Safety 2016-07-11 2016-08-12 N
Weekly inspections and monthly testing of generators. Fire Safety 2016-07-11 2016-08-12 N
Back-up procedures in place for a faulty automatic sprinkler system. Fire Safety 2016-07-11 2016-08-12 N
An approved back-up procedure for a faulty fire alarm system. Fire Safety 2016-07-11 2016-08-12 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2016-07-13 2016-08-10 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2016-07-13 2016-08-10 N
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. Health 2016-07-13 2016-08-07 N
Automatic sprinkler systems that have been maintained in working order. Fire Safety 2016-07-11 2016-08-05 N
Store, cook, and serve food in a safe and clean way. Health 2016-07-13 2016-07-29 N
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2016-07-11 2016-07-13 N
Ensure each resident receives an accurate assessment by a qualified health professional. Health 2016-07-13 2016-07-13 N