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Deficiency Records for St Dominic Villa
View the most recent health deficiencies and inspection results for St Dominic Villa. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Dominic Villa. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-12-22 | 2026-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-22 | 2026-01-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-12-22 | 2026-01-23 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-12-22 | 2026-01-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-22 | 2026-01-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-22 | 2026-01-22 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-12-22 | 2026-01-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-22 | 2026-01-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-12-22 | 2026-01-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-15 | 2024-11-01 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-08-15 | 2024-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-15 | 2024-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-15 | 2024-09-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-15 | 2024-09-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-15 | 2024-09-16 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-08-15 | 2024-09-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-15 | 2024-09-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-15 | 2024-09-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-15 | 2024-09-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-15 | 2024-09-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-15 | 2024-09-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-15 | 2024-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-15 | 2024-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-15 | 2024-09-16 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-08-15 | 2024-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-12 | 2024-03-01 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-02-12 | 2024-03-01 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-02-12 | 2024-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-30 | 2024-02-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-06 | 2023-10-30 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-10-06 | 2023-10-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-06 | 2023-10-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-06 | 2023-10-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-06 | 2023-10-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-06 | 2023-10-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-06 | 2023-10-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-06 | 2023-10-30 | Y |
| 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 | 2023-10-06 | 2023-10-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-06 | 2023-10-30 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-19 | 2023-05-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-19 | 2023-05-19 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-19 | 2023-05-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-19 | 2023-05-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-19 | 2023-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-19 | 2023-05-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-19 | 2023-05-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-19 | 2023-05-19 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-04-19 | 2023-05-19 | 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 | 2023-04-19 | 2023-05-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-19 | 2023-05-19 | 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 | 2023-04-19 | 2023-05-19 | N |