Villa Verde

No stage 3 or 4 pressure injuries

87615 Prohibited Health Conditions (a) Persons who require health services for or have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly(1) Stage 3 and 4 pressure injuries. This requirement was not met as evidenced by: Based on record review and interview, R1 was residing at the facility from 5/23 -5/26/2023 with a change of condition of the stage 2 pressure injury and became a stage 4 pressure injury which poses/posed an immediate Health, Safety, or Personal..

87631 Healing Wounds (a)(3)(A) The resident shall receive care for the pressure injury from a physician or an appropriately skilled professional.This requirement is not met as evidenced by: Based on interview, resident (R1) received care for the pressure injury by a non-skilled professional and the wound care was provided by the caregiver which poses/posed an immediate Health, Safety, or Personal Rights risk to persons in care.

Fire approval and staff access to unlock systems

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement is not met as evidenced by: Based on observation, interview, and record review the facility did not ensure to secure medications which was left accessible to residents with dementia which poses an immediate health, safety, and personal rights risk to persons in care.