A list of the most recent deficiencies for Victoria 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-12-03 | 2023-12-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-25 | 2023-11-16 | 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 | 2023-10-25 | 2023-11-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-25 | 2023-11-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-19 | 2023-11-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-19 | 2023-11-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-14 | 2023-07-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-31 | 2023-06-07 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-03 | 2023-05-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-06 | 2023-01-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-15 | 2022-12-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-15 | 2022-12-29 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2022-07-22 | 2022-08-03 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-22 | 2022-08-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-05 | 2022-07-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-05 | 2022-07-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-05 | 2022-07-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-26 | 2022-05-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-26 | 2022-05-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-07 | 2021-12-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-19 | 2021-11-01 | 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 | 2021-08-30 | 2021-09-27 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-10 | 2021-08-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-10 | 2021-08-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-10 | 2021-08-24 | Y |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-04-20 | 2021-05-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-20 | 2021-05-27 | 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 | 2021-04-20 | 2021-05-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-20 | 2021-05-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-04-20 | 2021-05-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-20 | 2021-05-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-04-20 | 2021-05-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-20 | 2021-05-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-20 | 2021-05-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-20 | 2021-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-15 | 2021-05-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-15 | 2021-05-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-15 | 2021-05-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-09 | 2020-01-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-09 | 2020-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-09 | 2020-01-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-09 | 2020-01-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-09 | 2020-01-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-01-09 | 2020-01-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-09 | 2020-01-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-11-15 | 2019-12-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-15 | 2019-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-15 | 2019-12-31 | 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 | 2019-11-15 | 2019-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-15 | 2019-12-31 | N |
