Deficiency Records for The Villages On Macarthur
Updated as of September 01, 2018
This is not the most recent data for The Villages On Macarthur. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-22 | 2018-03-16 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-02-22 | 2018-03-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-02-01 | 2018-03-01 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-22 | 2018-02-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-22 | 2018-02-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-24 | 2017-09-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-24 | 2017-09-12 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-24 | 2017-09-12 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-24 | 2017-09-12 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-26 | 2017-05-26 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-02-08 | 2017-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-08 | 2017-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-09 | 2017-03-10 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-05-06 | 2016-05-07 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-03-11 | 2016-04-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-11 | 2016-04-01 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-11 | 2016-04-01 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-03-11 | 2016-04-01 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-03-11 | 2016-04-01 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-03-11 | 2016-04-01 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-03-11 | 2016-04-01 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-10 | 2016-03-18 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-03-10 | 2016-03-18 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-10 | 2016-03-18 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-12-30 | 2016-01-07 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-11-02 | 2015-11-17 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-11-02 | 2015-11-17 | Y |
