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Deficiency Records for Valley Oaks Post Acute
A list of the most recent deficiencies for Valley Oaks 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 Valley Oaks 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? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-01 | 2023-07-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-06 | 2023-04-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-12 | 2022-09-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-17 | 2022-03-30 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-02-17 | 2022-03-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-02-17 | 2022-03-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-02-17 | 2022-03-30 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-17 | 2022-03-30 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-02-17 | 2022-03-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-17 | 2022-03-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-17 | 2022-03-30 | 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 | 2022-02-17 | 2022-03-30 | N |
| Provide or obtain dental services for each resident. | Health | 2022-02-17 | 2022-03-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-02-17 | 2022-03-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-02-17 | 2022-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-17 | 2022-03-30 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-02-17 | 2022-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-17 | 2022-03-30 | 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 | 2022-02-15 | 2022-03-16 | 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 | 2022-02-15 | 2022-03-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-15 | 2022-03-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-02-15 | 2022-03-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-15 | 2022-03-16 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-02-15 | 2022-03-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-08-05 | 2020-08-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-05 | 2020-08-18 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2020-08-05 | 2020-08-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-08-05 | 2020-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-05 | 2020-08-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-08-05 | 2020-08-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-12 | 2020-04-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-03-12 | 2020-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-04-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-03-12 | 2020-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-04-29 | 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 | 2020-03-12 | 2020-04-20 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-03-12 | 2020-04-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2020-03-12 | 2020-03-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-03-12 | 2020-03-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-12 | 2020-03-12 | 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 | 2019-04-30 | 2019-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-30 | 2019-05-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-30 | 2019-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-30 | 2019-05-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-03-06 | 2019-04-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-06 | 2019-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-06 | 2019-04-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-06 | 2019-04-03 | N |
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