Deficiency Records for The Villages On Macarthur

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Updated as of March 01, 2024

A list of the most recent deficiencies for The Villages On Macarthur. 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?
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
Honor the resident's right to manage his or her financial affairs. Health 2023-03-06 2023-03-10 Y
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2023-03-06 2023-03-10 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2023-03-06 2023-03-10 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-03-06 2023-03-10 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-03-06 2023-03-10 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 2023-03-06 2023-03-10 Y
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2023-03-06 2023-03-10 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-10 2022-11-14 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-06 2022-07-22 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-02-10 2022-02-25 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 2022-02-10 2022-02-25 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 2022-02-10 2022-02-25 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-02-10 2022-02-25 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2022-02-10 2022-02-25 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-06-29 2021-07-02 Y
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 2021-04-16 2021-05-07 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 2021-04-08 2021-05-01 Y
Provide and implement an infection prevention and control program. Health 2021-04-08 2021-05-01 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-12-20 2021-02-02 N
Provide and implement an infection prevention and control program. Health 2020-12-20 2021-02-02 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2020-11-12 2020-12-20 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2020-11-12 2020-12-20 N