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Brookview A Villa Center

Inspection Results

Nursing Homes Minnesota Golden Valley Brookview A Villa Center

Brookview A Villa Center has been cited for a total of 74 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Brookview A Villa Center.

There are 363 nursing homes in Minnesota with a total of 11,992 deficiencies resulting in an average of 33.04 deficiencies per nursing home.

The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies

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Deficiency Cited, Scope, and Date of Correction
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
E
Corrected:
01-08-2021
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
F
Corrected:
06-08-2020
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
01-08-2021
Ensure each resident receives an accurate assessment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
10-20-2020
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
F
Corrected:
07-31-2020
Provide activities to meet all resident's needs.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
04-14-2020
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
04-14-2020
Provide or obtain dental services for each resident.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
04-14-2020
Respond appropriately to all alleged violations.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
04-14-2020
Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
G
Corrected:
04-14-2020
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
01-02-2020
Respond appropriately to all alleged violations.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
01-02-2020
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
05-20-2019
Provide safe, appropriate pain management for a resident who requires such services.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
05-20-2019
Reasonably accommodate the needs and preferences of each resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
01-26-2019
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
01-26-2019
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
01-26-2019
Keep residents' personal and medical records private and confidential.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
01-26-2019
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
01-26-2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
01-26-2019
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
01-26-2019
Provide activities to meet all resident's needs.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
01-26-2019
Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
01-26-2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
01-26-2019
Provide appropriate foot care.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
01-26-2019
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.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
01-26-2019
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
01-26-2019
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
01-26-2019
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Category:
Nursing and Physician Services Deficiencies
Scope:
D
Corrected:
01-26-2019
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category:
Nursing and Physician Services Deficiencies
Scope:
F
Corrected:
01-26-2019
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
01-26-2019
Ensure medication error rates are not 5 percent or greater.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
01-26-2019
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Category:
Nutrition and Dietary Deficiencies
Scope:
D
Corrected:
01-26-2019
Provide and implement an infection prevention and control program.
Category:
Infection Control Deficiencies
Scope:
F
Corrected:
01-26-2019
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
01-26-2019
Honor the resident's right to organize and participate in resident/family groups in the facility.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
01-26-2019
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category:
Nursing and Physician Services Deficiencies
Scope:
D
Corrected:
01-26-2019
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
09-25-2018
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
09-25-2018
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
09-25-2018
Provide appropriate treatment and care according to orders, resident?s preferences and goals.
Category:
Quality of Life and Care Deficiencies
Scope:
L
Corrected:
06-12-2018
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
06-12-2018
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-13-2017
Keep residents' personal and medical records private and confidential.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-13-2017
Allow residents to self-administer drugs if determined safe.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-13-2017
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-13-2017
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-13-2017
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
11-13-2017
Give notice to the resident before a room or roommate change.
Category:
Resident Rights Deficiencies
Scope:
D
Corrected:
11-13-2017
Ensure each resident receives an accurate assessment by a qualified health professional.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
11-13-2017
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
11-13-2017
Allow residents the right to participate in the planning or revision of care and treatment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
11-13-2017
Provide care by qualified persons according to each resident's written plan of care.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
11-13-2017
Provide necessary care and services to maintain or improve the highest well being of each resident .
Category:
Quality of Life and Care Deficiencies
Scope:
J
Corrected:
11-13-2017
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
11-13-2017
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
11-13-2017
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
11-13-2017
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
11-13-2017
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Category:
Environmental Deficiencies
Scope:
D
Corrected:
11-13-2017
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.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
11-13-2017
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
Category:
Nursing and Physician Services Deficiencies
Scope:
F
Corrected:
11-13-2017
Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems.
Category:
Nutrition and Dietary Deficiencies
Scope:
J
Corrected:
11-13-2017
Provide or obtain dental services for each resident.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
11-13-2017
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
11-13-2017
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Category:
Pharmacy Service Deficiencies
Scope:
E
Corrected:
11-13-2017
Have a program that investigates, controls and keeps infection from spreading.
Category:
Environmental Deficiencies
Scope:
F
Corrected:
11-13-2017
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category:
Environmental Deficiencies
Scope:
E
Corrected:
11-13-2017
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Category:
Environmental Deficiencies
Scope:
C
Corrected:
11-13-2017
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
Category:
Administration Deficiencies
Scope:
F
Corrected:
11-13-2017
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.
Category:
Nursing and Physician Services Deficiencies
Scope:
E
Corrected:
11-13-2017
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
Category:
Nursing and Physician Services Deficiencies
Scope:
F
Corrected:
11-13-2017
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Category:
Administration Deficiencies
Scope:
F
Corrected:
11-13-2017
Have approved installation, maintenance and testing program for fire alarm systems.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
04-14-2020
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Category:
Egress Deficiencies
Scope:
C
Corrected:
11-13-2017

Learn more about Brookview A Villa Center at the following resources

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Brookview A Villa Center

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