A list of the most recent deficiencies for Victoria Gardens of Allen. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-26 | 2023-11-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-26 | 2023-10-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-28 | 2023-10-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-28 | 2023-10-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-28 | 2023-10-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-28 | 2023-10-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-28 | 2023-10-23 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-09-28 | 2023-10-23 | 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 | 2023-09-28 | 2023-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-28 | 2023-10-23 | 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 | 2023-09-26 | 2023-10-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-26 | 2023-10-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-26 | 2023-10-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-26 | 2023-10-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-13 | 2023-08-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-20 | 2023-07-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-13 | 2023-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-03 | 2023-07-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-04 | 2023-05-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-04 | 2023-04-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-05 | 2022-12-12 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-11-09 | 2022-11-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-03 | 2022-09-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-20 | 2022-09-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-07-20 | 2022-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-13 | 2022-07-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-03 | 2022-06-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-10 | 2022-04-01 | Y |
| 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 | 2022-03-10 | 2022-03-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-16 | 2021-12-17 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-10-14 | 2021-11-15 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-04-08 | 2021-05-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-08 | 2021-05-07 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-04-08 | 2021-05-07 | 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 | 2021-04-08 | 2021-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-08 | 2021-05-07 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-04-08 | 2021-05-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-08 | 2021-05-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-08 | 2021-05-07 | 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 | 2021-04-08 | 2021-05-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-08 | 2021-05-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-08 | 2021-05-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-08 | 2021-05-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-04-08 | 2021-05-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-08 | 2021-05-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-08 | 2021-05-07 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-04-08 | 2021-05-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-08 | 2021-05-07 | N |
