Deficiency Records for Mar Vista Country Villa Healthcare and Wellness
Updated as of May 01, 2020
This is not the most recent data for Mar Vista Country Villa Healthcare and Wellness. For the most recent information, click here.
A list of the most recent deficiencies for Mar Vista Country Villa Healthcare and Wellness. 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 special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-15 | 2020-02-11 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2020-01-15 | 2020-02-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-15 | 2020-02-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-15 | 2020-02-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-09 | 2020-02-04 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-01-09 | 2020-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-09 | 2020-02-04 | 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 | 2020-01-09 | 2020-02-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-09 | 2020-02-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-09 | 2020-02-04 | 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 | 2020-01-09 | 2020-02-04 | 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 | 2020-01-09 | 2020-02-04 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-01-09 | 2020-02-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-09 | 2020-02-04 | 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 | 2020-01-09 | 2020-02-04 | 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 | 2020-01-09 | 2020-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-02-04 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2020-01-09 | 2020-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-04 | N |
| Keep all essential equipment working safely. | Health | 2020-01-09 | 2020-02-04 | 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 | 2019-06-12 | 2019-07-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-30 | 2019-05-22 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-01-15 | 2019-02-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-01-15 | 2019-02-07 | 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 | 2019-01-15 | 2019-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-15 | 2019-02-07 | 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 | 2019-01-15 | 2019-02-07 | N |
| Dispose of garbage and refuse properly. | Health | 2019-01-15 | 2019-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-15 | 2019-02-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-01-11 | 2019-02-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-11 | 2019-02-03 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-01-11 | 2019-02-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-01-11 | 2019-02-03 | 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 | 2019-01-11 | 2019-02-03 | 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 | 2019-01-11 | 2019-02-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-01-11 | 2019-02-03 | 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 | 2019-01-11 | 2019-02-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-01-11 | 2019-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-11 | 2019-02-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-01-11 | 2019-02-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-01-11 | 2019-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-11 | 2019-02-03 | N |
| Meet other general requirements. | Fire Safety | 2019-01-11 | 2019-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-20 | 2018-06-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-05-24 | 2018-05-24 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-23 | 2018-03-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-02-23 | 2018-03-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-02-23 | 2018-03-14 | 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 | 2018-02-23 | 2018-03-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-23 | 2018-03-14 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-02-23 | 2018-03-14 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-02-23 | 2018-03-14 | 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 | 2018-02-23 | 2018-03-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-23 | 2018-03-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-23 | 2018-03-14 | 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 | 2018-02-23 | 2018-03-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-23 | 2018-03-14 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-02-23 | 2018-03-14 | 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 | 2018-02-23 | 2018-03-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-02-23 | 2018-03-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-02-23 | 2018-03-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-02-23 | 2018-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-23 | 2018-03-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-23 | 2018-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-23 | 2018-03-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-23 | 2018-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-23 | 2018-02-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-02-23 | 2018-02-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-02-23 | 2018-02-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-23 | 2018-02-23 | N |
