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Deficiency Records for Valley Palms Care Center
A list of the most recent deficiencies for Valley Palms Care 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 Palms Care 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-09 | 2024-08-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-09 | 2024-08-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-09 | 2024-08-22 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-07-16 | 2024-08-09 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-07-16 | 2024-08-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-16 | 2024-08-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-25 | 2024-05-09 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-04-25 | 2024-05-09 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-22 | 2024-03-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-22 | 2024-03-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-22 | 2024-03-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-22 | 2024-03-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-22 | 2024-03-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-22 | 2024-03-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-18 | 2024-03-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-18 | 2024-03-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-18 | 2024-03-17 | 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 | 2024-02-18 | 2024-03-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-02-18 | 2024-03-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-18 | 2024-03-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-18 | 2024-03-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-18 | 2024-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-18 | 2024-03-17 | 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 | 2024-02-18 | 2024-03-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-02-18 | 2024-03-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-18 | 2024-03-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-18 | 2024-03-17 | 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 | 2024-02-18 | 2024-03-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-02-18 | 2024-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-18 | 2024-03-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-18 | 2024-03-17 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-02-18 | 2024-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-18 | 2024-03-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-02-18 | 2024-03-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-18 | 2024-03-17 | N |
| Keep all essential equipment working safely. | Health | 2024-02-18 | 2024-03-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-01 | 2024-02-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-01 | 2024-02-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-01 | 2024-02-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-27 | 2023-12-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-27 | 2023-12-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-25 | 2023-11-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-25 | 2023-11-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-25 | 2023-11-17 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-10-25 | 2023-11-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-25 | 2023-11-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-23 | 2023-09-15 | Y |
| Post nurse staffing information every day. | Health | 2023-08-23 | 2023-09-15 | Y |
| Post nurse staffing information every day. | Health | 2023-08-24 | 2023-09-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-27 | 2023-07-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-27 | 2023-07-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-27 | 2023-07-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-07 | 2023-06-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-16 | 2023-05-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-16 | 2023-05-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-03 | 2023-04-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-03 | 2023-04-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-13 | 2023-02-22 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-01-23 | 2023-02-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-30 | 2023-01-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-24 | 2022-08-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-01 | 2022-04-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-01 | 2022-04-25 | 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 | 2022-04-01 | 2022-04-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-01 | 2022-04-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-01 | 2022-04-25 | 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 | 2022-04-01 | 2022-04-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-01 | 2022-04-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-04-01 | 2022-04-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-01 | 2022-04-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-01 | 2022-04-25 | 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 | 2022-04-01 | 2022-04-25 | 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 | 2022-04-01 | 2022-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-01 | 2022-04-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| 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 | 2022-04-06 | 2022-04-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-06 | 2022-04-25 | 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 | 2022-04-06 | 2022-04-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-04-06 | 2022-04-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-12-06 | 2020-01-06 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-12-06 | 2020-01-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-12-06 | 2020-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-06 | 2020-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-06 | 2020-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-06 | 2020-01-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-11-27 | 2019-12-24 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2019-11-27 | 2019-12-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-27 | 2019-12-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-27 | 2019-12-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-27 | 2019-12-24 | 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 | 2019-11-27 | 2019-12-24 | 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 | 2019-11-27 | 2019-12-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-27 | 2019-12-24 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-11-27 | 2019-12-24 | N |
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