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Deficiency Records for Victoria Post Acute Care
View the most recent health deficiencies and inspection results for Victoria Post Acute Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Victoria Post Acute Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-01-29 | 2026-02-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-29 | 2026-02-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-29 | 2026-02-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-01-29 | 2026-02-26 | 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 | 2026-01-29 | 2026-02-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-29 | 2026-02-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-29 | 2026-02-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2026-01-29 | 2026-02-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-29 | 2026-02-09 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2026-01-29 | 2026-02-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-29 | 2026-02-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-04 | 2025-10-04 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-07-31 | 2025-08-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-13 | 2024-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-13 | 2024-10-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-09-13 | 2024-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-13 | 2024-10-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-13 | 2024-10-10 | 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 | 2024-09-13 | 2024-10-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-13 | 2024-10-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-13 | 2024-10-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-09-13 | 2024-10-10 | 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 | 2024-09-13 | 2024-10-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-13 | 2024-09-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-09-13 | 2024-09-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-13 | 2024-09-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-13 | 2024-09-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-13 | 2024-09-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-13 | 2024-09-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-30 | 2024-09-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-24 | 2024-08-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-24 | 2024-08-15 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-04-17 | 2024-05-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-02-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-26 | 2024-02-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-09 | 2023-07-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-28 | 2022-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-28 | 2022-11-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-28 | 2022-11-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-28 | 2022-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-28 | 2022-11-16 | 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 | 2022-09-28 | 2022-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-11-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-28 | 2022-11-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-28 | 2022-11-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-28 | 2022-11-16 | 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 | 2022-09-28 | 2022-11-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-09-28 | 2022-11-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-28 | 2022-11-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-28 | 2022-11-16 | 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 | 2022-09-28 | 2022-11-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-09-28 | 2022-10-17 | 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 | 2022-09-28 | 2022-10-17 | 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 | 2022-09-28 | 2022-10-17 | N |
| Meet other general requirements. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Use approved construction type or materials. | Fire Safety | 2022-09-28 | 2022-10-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-28 | 2022-10-17 | N |