Deficiency Records for Asistencia Villa Rehabilitation and Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Asistencia Villa Rehabilitation and Care Center. 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 medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-12-04 | 2023-12-20 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-09-15 | 2023-09-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-11 | 2023-09-12 | 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 | 2023-08-11 | 2023-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-11 | 2023-09-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-11 | 2023-09-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-08-11 | 2023-09-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-11 | 2023-09-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-11 | 2023-09-12 | 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 | 2023-08-11 | 2023-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-11 | 2023-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-11 | 2023-09-12 | N |
| Keep all essential equipment working safely. | Health | 2023-08-11 | 2023-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-11 | 2023-09-12 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-08-22 | 2023-09-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-22 | 2023-09-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-22 | 2023-09-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-22 | 2023-09-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-05 | 2023-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-02 | 2023-08-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-11 | 2023-07-25 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-06 | 2023-04-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-06 | 2023-04-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-02 | 2023-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-12 | 2022-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-02 | 2022-04-01 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-23 | 2021-07-16 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-06-17 | 2021-07-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-06-17 | 2021-07-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-17 | 2021-07-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-17 | 2021-07-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-06-17 | 2021-07-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-17 | 2021-07-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-17 | 2021-07-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-17 | 2021-07-12 | 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 | 2021-06-17 | 2021-07-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-17 | 2021-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-17 | 2021-07-12 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-06-17 | 2021-07-12 | N |
| Dispose of garbage and refuse properly. | Health | 2021-06-17 | 2021-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-17 | 2021-07-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-18 | 2021-06-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-18 | 2021-06-01 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-16 | 2019-10-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-16 | 2019-10-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-16 | 2019-10-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-16 | 2019-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-16 | 2019-10-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-16 | 2019-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-16 | 2019-10-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-16 | 2019-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-16 | 2019-10-03 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-07-16 | 2019-10-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-08-12 | 2019-09-26 | 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 | 2019-08-12 | 2019-09-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-12 | 2019-09-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-12 | 2019-09-26 | 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 | 2019-08-12 | 2019-09-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-12 | 2019-09-26 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-12 | 2019-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-12 | 2019-09-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-08-12 | 2019-09-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-12 | 2019-09-26 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-08-12 | 2019-09-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-12 | 2019-09-26 | 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 | 2019-08-12 | 2019-09-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-12 | 2019-09-26 | 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 | 2019-08-12 | 2019-09-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-12 | 2019-09-26 | 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 | 2019-08-12 | 2019-09-26 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-08-12 | 2019-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-12 | 2019-09-26 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-08-12 | 2019-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-12 | 2019-09-26 | N |
