Deficiency Records for Victoria Post Acute Care
Updated as of December 01, 2016
This is not the most recent data for Victoria Post Acute Care. For the most recent information, click here.
A list of the most recent deficiencies for Victoria Post Acute Care. 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? |
|---|---|---|---|---|
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-08-23 | 2016-09-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-07-08 | 2016-08-08 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-08 | 2016-08-08 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-06-23 | 2016-07-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-06-23 | 2016-07-18 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-06-23 | 2016-07-18 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-23 | 2016-07-18 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-23 | 2016-07-18 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-06-23 | 2016-07-18 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-06-23 | 2016-07-18 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-23 | 2016-07-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-23 | 2016-07-18 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-06-23 | 2016-07-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-23 | 2016-07-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-06-23 | 2016-07-18 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-06-23 | 2016-07-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-06-23 | 2016-07-18 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-23 | 2016-07-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-12-30 | 2016-01-17 | Y |
| Keep all essential equipment working safely. | Health | 2015-12-30 | 2016-01-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-07-09 | 2015-08-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-07-09 | 2015-08-08 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-07-09 | 2015-08-08 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-07-09 | 2015-08-08 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2015-07-09 | 2015-08-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-09 | 2015-08-08 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-07-09 | 2015-08-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-09 | 2015-08-08 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-07-09 | 2015-08-08 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-07-09 | 2015-08-08 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-22 | 2015-08-04 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-01-15 | 2015-02-15 | Y |
| Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2015-01-15 | 2015-02-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-01-15 | 2015-02-15 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2014-07-11 | 2014-08-11 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-07-11 | 2014-08-11 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-07-11 | 2014-08-11 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-07-11 | 2014-08-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-07-11 | 2014-08-11 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2014-07-11 | 2014-08-11 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-07-11 | 2014-08-11 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2014-07-11 | 2014-08-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-07-11 | 2014-08-11 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2014-07-11 | 2014-08-11 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-07-11 | 2014-08-11 | N |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2014-07-11 | 2014-08-11 | N |
