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Deficiency Records for High Valley Lodge
A list of the most recent deficiencies for High Valley Lodge. 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 High Valley Lodge. 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? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-11 | 2024-09-10 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-11 | 2024-09-10 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-11 | 2024-09-10 | 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 | 2024-08-11 | 2024-09-10 | 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 | 2024-08-11 | 2024-09-10 | 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 | 2024-08-11 | 2024-09-10 | N |
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 | 2024-08-11 | 2024-09-10 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-11 | 2024-09-10 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-11 | 2024-09-10 | 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 | 2024-08-11 | 2024-09-10 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-08-11 | 2024-09-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-11 | 2024-09-10 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-11 | 2024-09-10 | 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 | 2024-08-11 | 2024-09-10 | N |
Provide and implement an infection prevention and control program. | Health | 2024-08-11 | 2024-09-10 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-08-11 | 2024-09-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-13 | 2024-09-06 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-13 | 2024-09-06 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-25 | 2024-02-15 | Y |
Assess the resident when there is a significant change in condition | Health | 2024-01-25 | 2024-02-15 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-02-15 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-13 | 2022-05-31 | Y |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-01-14 | 2022-05-23 | N |
Honor the resident's right to choose his or her attending physician. | Health | 2022-03-23 | 2022-03-28 | 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 | 2022-01-28 | 2022-02-23 | N |
Construct fire resistant interior walls. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-14 | 2022-02-14 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-01-14 | 2022-02-14 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-14 | 2022-02-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-14 | 2022-02-14 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-14 | 2022-02-14 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-14 | 2022-02-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-14 | 2022-02-14 | N |
Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-02-14 | N |
Report COVID19 data to residents and families. | Health | 2022-01-14 | 2022-02-14 | N |
Perform COVID19 testing on residents and staff. | Health | 2022-01-14 | 2022-02-14 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-18 | 2019-12-13 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-18 | 2019-12-13 | 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 | 2019-11-18 | 2019-12-13 | 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 | 2019-11-18 | 2019-12-13 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-11-18 | 2019-12-13 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-18 | 2019-12-13 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-11-18 | Not Fixed | N |
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