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Deficiency Records for Valley Springs Rehabilitation and Health Center
A list of the most recent deficiencies for Valley Springs Rehabilitation and Health Center. 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 Valley Springs Rehabilitation and Health Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-21 | 2024-01-04 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-12-21 | 2024-01-04 | 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 | 2023-12-21 | 2024-01-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-21 | 2024-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2024-01-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-21 | 2024-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-04 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-12-18 | 2024-01-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-18 | 2024-01-04 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-09-23 | 2022-10-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-23 | 2022-10-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-09-23 | 2022-10-14 | 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 | 2022-09-23 | 2022-10-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-23 | 2022-10-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-09-23 | 2022-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-23 | 2022-10-14 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-09-23 | 2022-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-10-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-23 | 2022-10-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-20 | 2022-10-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-09-20 | 2022-10-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-20 | 2022-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-23 | 2022-09-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-06-11 | 2021-07-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-11 | 2021-07-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-11 | 2021-07-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-11 | 2021-07-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-11 | 2021-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-11 | 2021-07-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-06-11 | 2021-07-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-11 | 2021-07-07 | 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 | 2021-06-11 | 2021-07-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-06-11 | 2021-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-11 | 2021-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-11 | 2021-07-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-06-11 | 2021-07-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-10 | 2021-07-07 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-06-11 | 2021-06-11 | N |
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