Imperial, A Villa Center
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
and safety has been maintained. On 10/23/2025 Resident wander assessment completed with a score of
- 21. On 10/23/2025 Resident Care plan was reviewed by IDT and updated.Resident will continue to be
monitored by psych for behaviors and medication management.IDENTIFYING OTHER RESIDENTS AT RISKResidents who are assessed as an elopement risk have the potential to be affected.On 10/23/2025 residents residing in the facility were reassessed for risk of elopement to identify those at risk.On 10/23/2025 a 100% audit was completed by the facility's clinical management team on all residents who trigger for elopement risk.Residents deemed at risk for elopement had a care-plan review to ensure appropriate interventions are in place.Residents deemed at risk for elopement are in all facility elopement binders. Binders are located on the nurse's unit and at the reception area.PROCESSES IMPLEMENTED TO PREVENT FURTHER OCCURRENCE On 10/23/2025 in-servicing for staff was initiated by DON/Designee on the elopement guideline.On 10/23/2025 to the facility took measures to ensure signage is visible throughout the building for staff and visitors to be aware of residents who may be around when walking though doors. On 10/23/2025 in-servicing for licensed nurses initiated by the DON/ Designee on ensuring a resident re assessed for wandering when showing behaviors to ensure accuracy of care plan and interventions. MONITORINGThe DON/ Designee will review 5 residents who are at risk for elopement to ensure wander/elopement assessments are current and interventions are accurate weekly x 4 weeks, then monthly x 3 months to ensure adherence to the facility's guidelines and practices.Results will be reported to the QA committee for monitoring and follow-up.The DON is responsible for substantial compliance of this Plan of Action.The facility alleges the immediacy of these discrepancies have been removed on 10/23/2025
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Imperial, A Villa Center in Dearborn Heights, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Dearborn Heights, MI, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Imperial, A Villa Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.