Deficiency Records for Virginia Beach Healthcare and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Virginia Beach Healthcare and Rehab Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-09-14 | 2022-10-10 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-09-14 | 2022-10-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-14 | 2022-10-10 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-14 | 2022-10-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-25 | 2022-04-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-25 | 2022-04-08 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-02-25 | 2022-04-08 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-25 | 2022-04-08 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2022-01-20 | 2022-03-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-30 | 2022-02-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-30 | 2022-02-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-12-30 | 2022-02-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-12-30 | 2022-02-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-30 | 2022-02-07 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-12-30 | 2022-02-07 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-30 | 2022-02-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-30 | 2022-02-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-12-30 | 2022-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-30 | 2022-02-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-12-30 | 2022-02-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-30 | 2022-02-07 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-12-30 | 2022-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-30 | 2022-02-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-30 | 2022-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-02-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-30 | 2022-02-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-12 | 2021-09-07 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-08-12 | 2021-09-07 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-03-25 | 2021-04-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-25 | 2021-04-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-03-25 | 2021-04-27 | Y |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-12-04 | 2020-04-17 | 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 | 2019-12-04 | 2020-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-04 | 2020-04-17 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-12-04 | 2020-04-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-04 | 2020-04-17 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-12-04 | 2020-04-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-04 | 2020-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-04 | 2020-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-04 | 2020-04-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-03-14 | 2019-04-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-14 | 2019-04-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-14 | 2019-04-26 | 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 | 2019-03-14 | 2019-04-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-14 | 2019-04-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-14 | 2019-04-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-03-14 | 2019-04-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-14 | 2019-04-26 | 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 | 2019-03-14 | 2019-04-26 | 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 | 2019-03-14 | 2019-04-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-14 | 2019-04-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-14 | 2019-04-26 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-03-14 | 2019-04-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-14 | 2019-04-26 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-21 | 2017-10-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-21 | 2017-10-14 | N |
