A list of the most recent deficiencies for Villa Valencia Healthcare 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-04 | 2023-10-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-24 | 2023-09-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-12 | 2023-07-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-10 | 2022-12-10 | 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 | 2022-11-10 | 2022-12-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-10 | 2022-12-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-11-10 | 2022-12-10 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-11-10 | 2022-12-10 | 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 | 2022-11-10 | 2022-12-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-11-10 | 2022-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-10 | 2022-12-10 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-11-10 | 2022-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-10 | 2022-12-10 | N |
| Report COVID19 data to residents and families. | Health | 2022-11-10 | 2022-12-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-16 | 2022-11-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-11-16 | 2022-11-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-16 | 2022-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-16 | 2022-11-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-16 | 2022-11-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-16 | 2022-11-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-11-19 | 2021-12-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-19 | 2021-12-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2021-12-24 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-24 | 2019-10-15 | 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 | 2019-08-19 | 2019-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-19 | 2019-09-19 | 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 | 2019-08-19 | 2019-09-19 | 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 | 2019-08-19 | 2019-09-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-19 | 2019-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-19 | 2019-09-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-19 | 2019-09-19 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-10-31 | 2018-11-19 | N |
| Develop a communication plan. | Fire Safety | 2018-10-31 | 2018-11-19 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2018-10-31 | 2018-11-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-31 | 2018-11-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-31 | 2018-11-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-31 | 2018-11-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-31 | 2018-11-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-31 | 2018-11-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-10 | 2018-09-10 | 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 | 2018-08-10 | 2018-09-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-10 | 2018-09-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-10 | 2018-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-10 | 2018-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-10 | 2018-09-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-10 | 2018-09-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-08-10 | 2018-09-10 | 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 | 2018-08-10 | 2018-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-10 | 2018-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-10 | 2018-09-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-10 | 2018-09-10 | N |
