Deficiency Records for Virginia Veterans Care Center
Updated as of April 01, 2021
This is not the most recent data for Virginia Veterans Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Virginia Veterans Care 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-10-13 | 2020-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-01 | 2020-08-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-02 | 2019-08-27 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-05-23 | 2019-07-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-05-23 | 2019-07-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-23 | 2019-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-23 | 2019-07-10 | 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 | 2019-05-23 | 2019-07-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-23 | 2019-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-29 | 2019-06-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-03-22 | 2018-05-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-22 | 2018-05-04 | 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 | 2018-03-22 | 2018-05-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-22 | 2018-05-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-22 | 2018-05-04 | 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 | 2018-03-22 | 2018-05-04 | 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 | 2018-03-22 | 2018-05-04 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-03-22 | 2018-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-22 | 2018-05-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-02 | 2018-04-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-02 | 2018-04-16 | N |
| Use approved construction type or materials. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Meet other general requirements. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-02-09 | 2017-04-06 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-01-26 | 2017-03-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-01-26 | 2017-03-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-26 | 2017-03-01 | 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 | 2017-01-26 | 2017-03-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-26 | 2017-03-01 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-01-26 | 2017-03-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-26 | 2017-03-01 | N |
