A list of the most recent deficiencies for Villa Scalabrini Special 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-20 | 2023-12-04 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-11-20 | 2023-12-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-26 | 2023-08-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-14 | 2022-09-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-01 | 2022-04-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-07 | 2021-05-28 | 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 | 2021-05-07 | 2021-05-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-07 | 2021-05-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-07 | 2021-05-28 | N |
| Post nurse staffing information every day. | Health | 2021-05-07 | 2021-05-28 | 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 | 2021-05-07 | 2021-05-28 | 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 | 2021-05-07 | 2021-05-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-07 | 2021-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-07 | 2021-05-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-05-05 | 2021-05-13 | 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 | 2021-05-05 | 2021-05-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-05 | 2021-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-05 | 2021-05-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-05-05 | 2021-05-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-05 | 2021-05-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-05 | 2021-05-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-23 | 2019-08-08 | 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 | 2019-07-23 | 2019-08-08 | 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 | 2019-07-23 | 2019-08-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-23 | 2019-08-08 | 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 | 2019-07-23 | 2019-08-08 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-07-23 | 2019-08-08 | 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 | 2019-07-23 | 2019-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-23 | 2019-08-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-23 | 2019-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-23 | 2019-08-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-07-23 | 2019-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-23 | 2019-07-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-23 | 2019-07-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-13 | 2018-07-31 | 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 | 2018-07-13 | 2018-07-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-13 | 2018-07-31 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-07-13 | 2018-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-13 | 2018-07-31 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-07-13 | 2018-07-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-07-10 | 2018-07-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-10 | 2018-07-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-10 | 2018-07-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-10 | 2018-07-30 | N |
