Inspection Results » Envoy at the Village

Health Inspection on March 21, 2019 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2019-05-01)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (Corrected 2019-05-01)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-05-01)
   • Respond appropriately to all alleged violations. (Corrected 2019-05-01)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-05-01)
   • Provide and implement an infection prevention and control program. (Corrected 2019-05-01)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-05-01)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-05-01)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-05-01)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-01)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-05-01)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2019-05-01)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-05-01)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-01)
   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2019-05-01)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-05-01)