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Deficiency Records for Villa Gardens Health Care Unit
View the most recent health deficiencies and inspection results for Villa Gardens Health Care Unit. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Villa Gardens Health Care Unit. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-05 | 2026-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-05 | 2026-01-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-05 | 2026-01-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-05 | 2026-01-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-12-05 | 2026-01-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-12-05 | 2026-01-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-05 | 2025-12-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-12-05 | 2025-12-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-05 | 2025-12-26 | N |
| Dispose of garbage and refuse properly. | Health | 2025-12-05 | 2025-12-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-05 | 2025-12-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-12-05 | 2025-12-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-12-05 | 2025-12-26 | N |
| 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 | 2025-12-05 | 2025-12-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-12-05 | 2025-12-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-12-05 | 2025-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-04 | 2024-11-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-04 | 2024-11-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-10-04 | 2024-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-04 | 2024-11-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-04 | 2024-11-03 | N |
| Dispose of garbage and refuse properly. | Health | 2024-10-04 | 2024-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-04 | 2024-11-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-04 | 2024-11-03 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-10-04 | 2024-11-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-04 | 2024-11-03 | 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 | 2024-10-04 | 2024-11-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-31 | 2024-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-31 | 2024-03-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-10-08 | 2023-11-09 | 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 | 2023-10-08 | 2023-11-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-08 | 2023-11-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-10-08 | 2023-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-08 | 2023-10-30 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-10-08 | 2023-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-08 | 2023-10-30 | 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 | 2023-10-08 | 2023-10-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-08 | 2023-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-08 | 2023-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-08 | 2023-10-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-08 | 2023-10-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-24 | 2023-09-24 | Y |
| 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 | 2023-08-24 | 2023-09-24 | Y |