A list of the most recent deficiencies for Ravenswood Village. 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 | 2023-03-15 | 2023-04-18 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-15 | 2023-04-18 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-03-15 | 2023-04-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-15 | 2023-04-18 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-15 | 2023-04-18 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2023-03-15 | 2023-04-18 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-15 | 2023-04-18 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-15 | 2023-04-18 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-15 | 2023-04-18 | N |
Post nurse staffing information every day. | Health | 2023-03-15 | 2023-04-18 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-15 | 2023-04-18 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-15 | 2023-04-18 | N |
Provide and implement an infection prevention and control program. | Health | 2023-03-15 | 2023-04-18 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-15 | 2023-04-18 | N |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-01-26 | 2022-03-04 | 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 | 2022-01-26 | 2022-03-04 | N |
Keep residents' personal and medical records private and confidential. | Health | 2022-01-26 | 2022-03-04 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-01-26 | 2022-03-04 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-26 | 2022-03-04 | 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 | 2022-01-26 | 2022-03-04 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-26 | 2022-03-04 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-26 | 2022-03-04 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-26 | 2022-03-04 | 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 | 2022-01-26 | 2022-03-04 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-26 | 2022-03-04 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-01-26 | 2022-03-04 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-26 | 2022-03-04 | N |
Provide and implement an infection prevention and control program. | Health | 2022-01-26 | 2022-03-04 | N |
Meet other general requirements that are deficient. | Fire Safety | 2022-01-25 | 2022-03-02 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-25 | 2022-03-02 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-25 | 2022-03-02 | N |
Ensure each resident receives an accurate assessment. | Health | 2020-11-12 | 2020-12-08 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-12 | 2020-12-08 | 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 | 2020-11-12 | 2020-12-08 | N |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-11-12 | 2020-12-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-11-12 | 2020-12-08 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-11-12 | 2020-12-08 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-11-12 | 2020-12-08 | 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 | 2020-11-12 | 2020-12-08 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-11-12 | 2020-12-08 | N |