Deficiency Records for Consulate Healthcare of Williamsburg
Updated as of March 01, 2022
This is not the most recent data for Consulate Healthcare of Williamsburg. For the most recent information, click here.
A list of the most recent deficiencies for Consulate Healthcare of Williamsburg. 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? |
|---|---|---|---|---|
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-04-14 | 2021-05-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-05 | 2020-04-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-03-05 | 2020-04-14 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-03-05 | 2020-04-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-05 | 2020-04-14 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-03-05 | 2020-04-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-03-05 | 2020-04-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-05 | 2020-04-14 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-03-05 | 2020-04-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-04 | 2019-11-22 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-09-27 | 2018-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-27 | 2018-11-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-09-27 | 2018-11-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-27 | 2018-11-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-27 | 2018-11-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-08-30 | 2018-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-30 | 2018-10-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-30 | 2018-10-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-30 | 2018-10-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-30 | 2018-10-02 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-08-30 | 2018-10-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-30 | 2018-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-30 | 2018-10-02 | 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 | 2017-08-29 | 2017-09-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-29 | 2017-09-28 | N |
| 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 | 2017-08-16 | 2017-09-21 | N |
| 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 | 2017-08-16 | 2017-09-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-16 | 2017-09-21 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-08-16 | 2017-09-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-16 | 2017-09-21 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-08-16 | 2017-09-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-16 | 2017-09-21 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2017-08-16 | 2017-09-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-16 | 2017-09-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-11-02 | Not Fixed | N |
