A list of the most recent deficiencies for Palm Village Retirement Comm.. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-10 | 2022-04-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-22 | 2019-10-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-22 | 2019-10-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-22 | 2019-10-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-22 | 2019-10-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-22 | 2019-10-16 | 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 | 2019-07-22 | 2019-10-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-22 | 2019-10-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-22 | 2019-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-22 | 2019-10-16 | 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 | 2019-07-22 | 2019-10-16 | 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 | 2019-07-22 | 2019-10-16 | 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 | 2019-07-22 | 2019-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-22 | 2019-10-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-22 | 2019-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-22 | 2019-10-16 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-07-22 | 2019-10-16 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-08-08 | 2019-09-06 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-08-08 | 2019-09-06 | 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 | 2019-08-08 | 2019-09-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-08 | 2019-09-06 | 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 | 2018-06-15 | 2018-09-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-15 | 2018-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-15 | 2018-09-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-15 | 2018-09-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-06-15 | 2018-09-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-06-15 | 2018-09-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-06-15 | 2018-09-05 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-06-15 | 2018-09-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-06-15 | 2018-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-15 | 2018-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-15 | 2018-09-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-12 | 2018-07-27 | N |
| Develop a communication plan. | Fire Safety | 2018-07-12 | 2018-07-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-12 | 2018-07-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-12 | 2018-07-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-12 | 2018-07-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-12 | 2018-07-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-06-28 | 2017-08-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-28 | 2017-08-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-28 | 2017-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-28 | 2017-08-07 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-06-28 | 2017-08-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-28 | 2017-08-07 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-23 | 2017-07-20 | N |
