The Villa at City Center

Warren, MI 2023 Assisted Living / Long-Term Care
CMS Actual Harm Documentation Failure Immediate Jeopardy Inadequate Staffing Infection Control Medication Error Resident Neglect Wound Care
Penalty
$8,454

Outcome

The Villa at City Center in Warren, MI was fined $8,454 by CMS across 5 separate penalties following 44 deficiency citations identified during federal surveys.

Details

The Villa at City Center (Warren, MI) — $8,454 in CMS Fines

Outcome: The Villa at City Center in Warren, MI was fined $8,454 by CMS across 5 separate penalties following 44 deficiency citations identified during federal surveys.

Deficiency areas cited:


  • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

  • 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.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

How Crucible Prevents This

Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.

Source: CMS Nursing Home Penalties Dataset — The Villa at City Center

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