CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Villas at Poway
View the most recent health deficiencies and inspection results for The Villas at Poway. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Villas at Poway. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop a communication plan. | Fire Safety | 2025-05-22 | 2025-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-22 | 2025-06-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-22 | 2025-06-13 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2025-05-22 | 2025-06-13 | 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 | 2025-05-22 | 2025-06-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-22 | 2025-06-13 | 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 | 2025-05-22 | 2025-06-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-05-22 | 2025-06-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-05-22 | 2025-06-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-05-22 | 2025-06-13 | 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 | 2025-05-22 | 2025-06-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-22 | 2025-06-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-05-22 | 2025-06-13 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2025-05-22 | 2025-06-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-05-22 | 2025-06-13 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2025-05-22 | 2025-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-22 | 2025-06-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-22 | 2025-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-22 | 2025-06-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-05-22 | 2025-06-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-22 | 2025-06-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-21 | 2024-10-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-10-21 | 2024-10-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-21 | 2024-10-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-06 | 2024-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-28 | 2024-01-16 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-09-18 | 2023-09-30 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-03-23 | 2023-05-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-03-23 | 2023-05-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-23 | 2023-05-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-23 | 2023-05-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-23 | 2023-05-15 | 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 | 2023-03-23 | 2023-05-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-23 | 2023-05-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-03-23 | 2023-05-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-23 | 2023-05-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-23 | 2023-05-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-03-23 | 2023-05-15 | N |
| Keep all essential equipment working safely. | Health | 2023-03-23 | 2023-05-15 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-03-23 | 2023-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-23 | 2023-05-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-23 | 2023-05-15 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-23 | 2023-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-05-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-23 | 2023-04-19 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-03-23 | 2023-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-23 | 2023-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-23 | 2023-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-23 | 2023-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-23 | 2023-04-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-23 | 2023-04-19 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-23 | 2023-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-30 | 2020-02-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-01-30 | 2020-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-30 | 2020-02-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-30 | 2020-02-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-30 | 2020-02-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-30 | 2020-02-24 | 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 | 2020-01-30 | 2020-02-24 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2020-01-30 | 2020-02-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-01-30 | 2020-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-30 | 2020-02-24 | N |