Deficiency Records for Victoria Gardens of Frisco
Updated as of July 01, 2020
This is not the most recent data for Victoria Gardens of Frisco. For the most recent information, click here.
A list of the most recent deficiencies for Victoria Gardens of Frisco. 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? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-21 | 2019-06-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-21 | 2019-06-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-21 | 2019-06-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-21 | 2019-06-22 | 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 | 2019-06-21 | 2019-06-22 | 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 | 2019-06-21 | 2019-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-21 | 2019-06-22 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-04-10 | 2019-04-17 | Y |
| 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 | 2019-03-06 | 2019-04-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-03-06 | 2019-04-05 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-07 | 2018-07-06 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-07 | 2018-07-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-08 | 2018-07-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-08 | 2018-07-06 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2018-06-08 | 2018-07-06 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-19 | 2017-11-08 | Y |
| 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 | 2017-10-19 | 2017-11-08 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-10-19 | 2017-11-08 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-10-19 | 2017-11-08 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-11 | 2017-09-04 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-11 | 2017-09-04 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-08-11 | 2017-09-04 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-06-07 | 2017-06-30 | 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 | 2017-06-07 | 2017-06-30 | 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 | 2017-06-07 | 2017-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-07 | 2017-06-30 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-06-07 | 2017-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-07 | 2017-06-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-06-07 | 2017-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-07 | 2017-06-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-07 | 2017-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-07 | 2017-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-06-07 | 2017-06-30 | 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 | 2017-06-07 | 2017-06-30 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-06-07 | 2017-06-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-07 | 2017-06-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-07 | 2017-06-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-07 | 2017-06-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-06-07 | 2017-06-30 | N |
