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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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