Inspection Results » Villa at Middleton Village (The)

Health Inspection on April 9, 2019 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2019-05-02)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-05-02)

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-05-02)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-05-02)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-05-02)

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

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-02)
   • 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 2019-05-02)

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

   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-05-02)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2019-05-02)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-05-02)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-05-02)
   • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne (Corrected 2019-05-02)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-05-02)

5. Widespread: No actual harm with potential for minimal harm

   • Provide and implement an infection prevention and control program. (Corrected 2019-05-02)