A list of the most recent deficiencies for Golden Villa. 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? |
---|---|---|---|---|
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-02-16 | 2024-02-17 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-16 | 2024-02-17 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-27 | 2023-11-24 | Y |
Install an approved automatic sprinkler system. | Fire Safety | 2023-04-04 | 2023-04-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-04 | 2023-04-26 | 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 | 2023-04-04 | 2023-04-05 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-04 | 2023-03-05 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-04 | 2023-03-05 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-03-04 | 2023-03-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-04 | 2023-03-05 | 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 | 2023-03-04 | 2023-03-05 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-04 | 2023-03-05 | 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 | 2023-03-04 | 2023-03-05 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-04 | 2023-03-05 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-04 | 2023-03-05 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-04 | 2023-03-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-04 | 2023-03-05 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-04 | 2023-03-05 | N |
Implement a program that monitors antibiotic use. | Health | 2023-03-04 | 2023-03-05 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-04 | 2023-03-05 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-12 | 2022-02-11 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-16 | 2022-01-07 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-16 | 2022-01-07 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-16 | 2022-01-07 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-16 | 2022-01-07 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-24 | 2021-12-20 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-05 | 2020-11-02 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-05 | 2020-11-02 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-09-17 | 2020-09-23 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-17 | 2020-09-23 | N |
Respond appropriately to all alleged violations. | Health | 2020-09-17 | 2020-09-23 | N |
Ensure each resident receives an accurate assessment. | Health | 2020-09-17 | 2020-09-23 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-17 | 2020-09-23 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-17 | 2020-09-23 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-17 | 2020-09-23 | 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 | 2020-09-17 | 2020-09-23 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-17 | 2020-09-23 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-09-17 | 2020-09-23 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-17 | 2020-09-23 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-09-17 | 2020-09-23 | N |