Facility profile · CCN 225608
Victoria Haven Nursing Facility
31 federal citations on record , and 1 federal enforcement actions totaling $40,641.
Record summary
Federal record · Q1 202631
Total citations
22
Last 3 years
2
Actual harm+
1
Federal penalties
$40,641
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
31 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Feb 18, 2025 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard |
| Feb 18, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Feb 18, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Feb 18, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Feb 18, 2025 | F758 | 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 necessary and PRN use is limited. | D | Standard |
| Feb 18, 2025 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Feb 18, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Feb 18, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Feb 18, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Feb 18, 2025 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard |
| Feb 29, 2024 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard |
| Feb 29, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Feb 29, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Feb 29, 2024 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard |
| Feb 29, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Feb 29, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Feb 29, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard |
| Feb 29, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Feb 29, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 29, 2024 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | Standard |
| Feb 29, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard |
| Feb 29, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Standard |
| Oct 21, 2022 | F886 | Perform COVID19 testing on residents and staff. | E | Standard |
| Oct 21, 2022 | F885 | Report COVID19 data to residents and families. | E | Standard |
| Oct 21, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Oct 21, 2022 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard |
| Oct 21, 2022 | F758 | 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 necessary and PRN use is limited. | E | Standard |
| Oct 21, 2022 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Standard |
| Oct 21, 2022 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Oct 21, 2022 | F578 | 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. | D | Standard |
| Oct 21, 2022 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $40,641 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 29, 2024 | Fine | $40,641 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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