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Deficiency Records for The Villages On Macarthur
View the most recent health deficiencies and inspection results for The Villages On Macarthur. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Villages On Macarthur. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-01-02 | 2026-01-05 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-07-03 | 2025-08-06 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-07-03 | 2025-07-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-07-03 | 2025-07-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-07-03 | 2025-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-03 | 2025-07-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-07-03 | 2025-07-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-03 | 2025-07-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-07-03 | 2025-07-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-07-03 | 2025-07-22 | 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 | 2025-07-03 | 2025-07-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-07-03 | 2025-07-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-07-03 | 2025-07-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-03 | 2025-07-10 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-07-03 | 2025-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-03 | 2025-07-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-07-03 | 2025-07-10 | 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 | 2025-07-03 | 2025-07-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-07-03 | 2025-07-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-03 | 2025-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-03 | 2025-07-10 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-03 | 2025-07-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-07-03 | 2025-07-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-03 | 2025-07-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-02-21 | 2025-03-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-03 | 2025-03-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-21 | 2025-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-13 | 2024-09-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-06 | 2024-09-13 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-06 | 2024-06-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-06 | 2024-06-14 | 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 | 2024-06-06 | 2024-06-14 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-06 | 2024-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-06 | 2024-06-14 | 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 | 2024-06-06 | 2024-06-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-06 | 2024-06-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-10 | 2024-02-02 | Y |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-04-27 | 2023-05-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-27 | 2023-05-05 | 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 | 2023-04-27 | 2023-05-05 | N |