Deficiency Records for Williamsburg Village Healthcare Campus
Updated as of April 01, 2024
A list of the most recent deficiencies for Williamsburg Village Healthcare Campus. 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? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-08 | 2023-12-08 | 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 | 2023-11-08 | 2023-12-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-13 | 2023-11-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-13 | 2023-11-25 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-11-08 | 2023-11-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-08 | 2023-11-24 | 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 | 2023-11-08 | 2023-11-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2023-11-24 | Y |
| Provide appropriate foot care. | Health | 2023-11-08 | 2023-11-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-08 | 2023-11-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-08 | 2023-11-17 | Y |
| 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 | 2023-11-08 | 2023-11-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-08 | 2023-11-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-04 | 2023-11-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-12 | 2023-10-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-12 | 2023-10-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-16 | 2023-05-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-04 | 2023-04-10 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-01-18 | 2023-01-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-12 | 2023-01-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-01-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-08 | 2022-11-29 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-11-08 | 2022-11-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-08 | 2022-11-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-12 | 2022-11-08 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-01-12 | 2022-11-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-21 | 2022-10-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-23 | 2022-10-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-09-21 | 2022-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-23 | 2022-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-21 | 2022-10-10 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-09-21 | 2022-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-21 | 2022-10-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-21 | 2022-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-05 | 2022-07-23 | Y |
| 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 | 2022-07-20 | 2022-07-22 | Y |
| 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 | 2022-06-30 | 2022-07-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-30 | 2022-07-01 | Y |
| 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 | 2022-06-30 | 2022-07-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-07-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-14 | 2022-05-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-03 | 2022-03-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-03 | 2022-03-23 | Y |
| 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 | 2022-03-08 | 2022-03-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-08 | 2022-03-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-02 | 2021-12-10 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-02 | 2021-12-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-10 | 2021-11-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-12 | 2021-10-13 | Y |
| 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 | 2021-08-02 | 2021-08-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-02 | 2021-08-24 | Y |
| Install proper backup exit lighting. | Fire Safety | 2021-06-29 | 2021-08-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-29 | 2021-08-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-06-30 | 2021-07-30 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-06-29 | 2021-07-30 | 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 | 2021-06-30 | 2021-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-30 | 2021-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-29 | 2021-07-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-30 | 2021-07-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-30 | 2021-07-25 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-06-30 | 2021-07-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-29 | 2021-07-20 | N |
