Deficiency Records for Villa Loretto Nursing Home
Updated as of October 01, 2021
This is not the most recent data for Villa Loretto Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Villa Loretto Nursing Home. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2021-06-07 | 2021-06-24 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-11-25 | 2019-12-25 | 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 | 2019-11-25 | 2019-12-25 | 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 | 2019-11-25 | 2019-12-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-25 | 2019-12-19 | 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 | 2019-11-26 | 2019-12-10 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-17 | 2019-08-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-17 | 2019-08-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-17 | 2019-08-02 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-07-17 | 2019-08-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-29 | 2018-12-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-11-27 | 2018-12-18 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-11-27 | 2018-11-30 | N |
| Meet other general requirements. | Fire Safety | 2018-11-27 | 2018-11-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-11-27 | 2018-11-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-11-27 | 2018-11-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-27 | 2018-11-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-09-19 | 2017-10-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-21 | 2017-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-19 | 2017-10-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-09-19 | 2017-10-04 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-09-21 | 2017-10-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-09-19 | 2017-09-19 | N |
