OUR LADY OF PEACE INC
CHARLOTTESVILLE, VA · 30 beds · Non profit - Church related
Red Flags
- ⚠ No standard inspection in over 2 years
- ⚠ 2 citation(s) where residents suffered actual harm
Green Flags
- ✓ 5-star staffing rating
- ✓ Below-average deficiency count (6 vs 15 state avg)
- ✓ No fines or penalties on record
- ✓ Above-average RN staffing (1.14 hrs vs 0.67 state avg)
Quick Facts
Violation Timeline
January 11, 2023
6 deficiencyiesResident Assessment and Care Planning Deficiencies
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
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Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Quality of Life and Care Deficiencies
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
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Provide enough food/fluids to maintain a resident's health.
March 24, 2021
5 deficiencyiesResident Assessment and Care Planning Deficiencies
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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Show details
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Show details
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
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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.
Infection Control Deficiencies
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Provide and implement an infection prevention and control program.
July 10, 2019
8 deficiencyiesResident Assessment and Care Planning Deficiencies
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Show details
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Show details
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Show details
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Show details
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.
Pharmacy Service Deficiencies
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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.
Infection Control Deficiencies
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Provide and implement an infection prevention and control program.
Environmental Deficiencies
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Staffing
A nurse checks on each resident roughly every 4.8 hours on average.
Fines & Penalties
No fines or penalties on record.
Ownership
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Ownership Data Not Available
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