All citations for Village Square Healthcare Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Village Square Healthcare Center

Last standard health inspection on record

May 15, 2025

Showing 1 to 25 of 25 citations

  1. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of September 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

  2. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  3. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  4. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection (February 14, 2019).

  5. No harm, with potential for more than minimal harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0865, Administration Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  6. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2019).

  7. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 18, 2024).

  8. No harm, with potential for more than minimal harm

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0563, Resident Rights Deficiencies. Inspection of November 3, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 21, 2023).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  10. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  11. No harm, with potential for more than minimal harm

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0582, Resident Rights Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  12. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  13. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  15. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  16. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  17. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  18. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  19. No harm, with potential for more than minimal harm

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  20. No harm, with potential for more than minimal harm

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    Past non-compliance: already corrected by the time of the inspection (February 14, 2019).

  21. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 25, 2019).

  22. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2019).

  23. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2019).

  24. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2019).

  25. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of February 14, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 9, 2019).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.