Victoria Haven Nursing Facility
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Penalty
$40,641
Outcome
Victoria Haven Nursing Facility in NORWOOD, MA was fined $40,641 by CMS following 31 deficiency citations identified during federal surveys.
Details
Victoria Haven Nursing Facility (NORWOOD, MA) — $40,641 in CMS Fines
Outcome: Victoria Haven Nursing Facility in NORWOOD, MA was fined $40,641 by CMS following 31 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Ensure services provided by the nursing facility meet professional standards of quality.
- Provide care and assistance to perform activities of daily living for any resident who is unable.
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
- 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.
- Provide and implement an infection prevention and control program.
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.
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