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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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