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Deficiency Records for Palm Valley Post Acute
A list of the most recent deficiencies for Palm Valley Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Palm Valley Post Acute. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-08 | 2024-04-26 | Y |
| 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. | Health | 2024-03-01 | 2024-04-21 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-01 | 2024-04-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-01 | 2024-04-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-01 | 2024-04-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-01 | 2024-04-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-01 | 2024-04-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-03-01 | 2024-04-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-03-01 | 2024-04-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-01 | 2024-04-21 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-01 | 2024-04-21 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-03-01 | 2024-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-01 | 2024-04-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-01 | 2024-04-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-01 | 2024-04-21 | N |
| Post nurse staffing information every day. | Health | 2024-03-01 | 2024-04-21 | N |
| 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. | Health | 2024-03-01 | 2024-04-21 | N |
| 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. | Health | 2024-03-01 | 2024-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-01 | 2024-04-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-01 | 2024-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-01 | 2024-04-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-01 | 2024-04-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-01 | 2024-04-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-01 | 2024-04-21 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-01 | 2024-04-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-22 | 2024-02-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-22 | 2024-02-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-22 | 2024-02-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-31 | 2023-12-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-22 | 2023-12-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-22 | 2023-12-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-22 | 2023-12-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-22 | 2023-12-27 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-11-04 | 2022-12-30 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2022-11-04 | 2022-12-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-04 | 2022-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-04 | 2022-12-10 | N |
| Provide activities to meet all resident's needs. | Health | 2022-11-04 | 2022-12-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-04 | 2022-12-10 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-11-04 | 2022-12-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-04 | 2022-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-04 | 2022-12-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-16 | 2022-07-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-25 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-17 | 2022-04-25 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-06-04 | 2021-07-01 | N |
| 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. | Health | 2021-06-04 | 2021-07-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-04 | 2021-07-01 | N |
| Respond appropriately to all alleged violations. | Health | 2021-06-04 | 2021-07-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-06-04 | 2021-07-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-04 | 2021-07-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-04 | 2021-07-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-04 | 2021-07-01 | N |
| 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. | Health | 2021-06-04 | 2021-07-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-06-04 | 2021-07-01 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2021-06-04 | 2021-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-04 | 2021-06-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-04 | 2021-06-30 | N |
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