Deficiency Records for Villa Marin
Updated as of April 01, 2022
This is not the most recent data for Villa Marin. For the most recent information, click here.
A list of the most recent deficiencies for Villa Marin. 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 | 2020-06-11 | 2020-09-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-15 | 2019-06-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-15 | 2019-06-17 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-15 | 2019-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-15 | 2019-06-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-15 | 2019-06-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-15 | 2019-06-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-15 | 2019-06-17 | 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 | 2019-03-01 | 2019-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-01 | 2019-04-18 | 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 | 2019-03-01 | 2019-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-01 | 2019-04-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-01 | 2019-04-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-01 | 2019-04-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-02-06 | 2018-04-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-06 | 2018-04-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-06 | 2018-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-06 | 2018-04-20 | N |
| Dispose of garbage and refuse properly. | Health | 2018-02-06 | 2018-04-20 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-02-06 | 2018-04-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-02-06 | 2018-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-06 | 2018-04-20 | N |
| Keep all essential equipment working safely. | Health | 2018-02-06 | 2018-04-20 | N |
| Develop a communication plan. | Fire Safety | 2018-02-13 | 2018-02-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-02-13 | 2018-02-26 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-12-16 | 2017-01-11 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-12-16 | 2017-01-11 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-12-16 | 2017-01-11 | 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 | 2016-12-21 | 2017-01-10 | N |
