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Deficiency Records for Brighton Place Spring Valley
A list of the most recent deficiencies for Brighton Place Spring Valley. 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 Brighton Place Spring Valley. 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? |
---|---|---|---|---|
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 | 2024-08-30 | 2024-10-11 | Y |
Ensure each resident receives an accurate assessment. | Health | 2024-05-23 | 2024-06-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-23 | 2024-06-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-23 | 2024-06-21 | 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 | 2024-05-23 | 2024-06-21 | 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 | 2024-05-23 | 2024-06-21 | N |
Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-06-21 | N |
Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-05-23 | 2024-06-21 | N |
Provide primary/alternate means for communication. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
Use approved construction type or materials. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-30 | 2024-06-07 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-17 | 2024-05-10 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-09 | 2024-05-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-10-09 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-18 | 2023-05-09 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-18 | 2023-05-09 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-25 | 2023-05-08 | Y |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-10-19 | 2022-11-01 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-18 | 2022-11-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-07 | 2022-09-26 | Y |
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 | 2022-03-18 | 2022-03-31 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-13 | 2021-07-19 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-13 | 2021-07-19 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-13 | 2021-07-19 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-13 | 2021-07-19 | 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 | 2021-05-13 | 2021-07-19 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-13 | 2021-07-19 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-13 | 2021-07-19 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-13 | 2021-07-19 | N |
Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-07-19 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
Use approved construction type or materials. | Fire Safety | 2021-05-19 | 2021-06-10 | 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 | 2021-05-19 | 2021-06-10 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-07-22 | 2019-08-22 | 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 | 2019-07-22 | 2019-08-22 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-19 | 2019-08-19 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-19 | 2019-08-19 | 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 | 2019-07-19 | 2019-08-19 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-19 | 2019-08-19 | N |
Provide and implement an infection prevention and control program. | Health | 2019-07-19 | 2019-08-19 | N |
Provide and implement an infection prevention and control program. | Health | 2022-05-18 | Not Fixed | N |
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