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Deficiency Records for Huntington Valley Healthcare Center
A list of the most recent deficiencies for Huntington Valley Healthcare Center. 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 Huntington Valley Healthcare Center. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-20 | 2024-10-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-20 | 2024-10-12 | Y |
| Provide appropriate foot care. | Health | 2024-09-20 | 2024-10-12 | Y |
| 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 | 2024-09-20 | 2024-10-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-09 | 2024-10-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-09 | 2024-10-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-22 | 2024-08-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-13 | 2024-06-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-13 | 2024-05-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-13 | 2023-12-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-13 | 2023-12-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-13 | 2023-12-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-13 | 2023-12-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-22 | 2023-08-28 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-07-25 | 2023-08-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-13 | 2023-08-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-13 | 2023-08-02 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-06-13 | 2023-08-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-13 | 2023-08-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-13 | 2023-08-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-13 | 2023-08-02 | 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 | 2023-06-13 | 2023-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-13 | 2023-08-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-13 | 2023-08-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-13 | 2023-08-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-13 | 2023-08-02 | 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 | 2023-06-13 | 2023-08-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-06-13 | 2023-08-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-13 | 2023-08-02 | 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 | 2023-06-13 | 2023-08-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-13 | 2023-08-02 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-06-13 | 2023-08-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-06-13 | 2023-08-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-13 | 2023-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-13 | 2023-08-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-06-13 | 2023-08-02 | N |
| Keep all essential equipment working safely. | Health | 2023-06-13 | 2023-08-02 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-06-13 | 2023-08-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-13 | 2023-08-02 | Y |
| 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 | 2023-06-13 | 2023-08-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-13 | 2023-08-02 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-06-13 | 2023-08-02 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-11 | 2023-05-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-17 | 2023-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-09 | 2023-01-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-30 | 2022-09-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-30 | 2022-09-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-30 | 2022-09-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-01 | 2022-04-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-21 | 2021-05-10 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-04-21 | 2021-05-10 | N |
| 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 | 2021-04-21 | 2021-05-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-21 | 2021-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-21 | 2021-05-10 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-04-21 | 2021-05-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-21 | 2021-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-21 | 2021-05-10 | 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 | 2021-04-21 | 2021-05-10 | 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 | 2021-04-21 | 2021-05-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-04-21 | 2021-05-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-21 | 2021-05-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-21 | 2021-05-10 | 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 | 2021-04-21 | 2021-05-10 | 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 | 2021-04-21 | 2021-05-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-21 | 2021-05-10 | 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 | 2021-04-21 | 2021-05-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-04-21 | 2021-05-10 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-04-21 | 2021-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-21 | 2021-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-21 | 2021-05-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-21 | 2021-05-10 | N |
| Use approved construction type or materials. | Fire Safety | 2021-04-19 | 2021-05-04 | 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 | 2021-04-19 | 2021-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-19 | 2021-05-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-19 | 2021-05-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-19 | 2021-05-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-19 | 2021-05-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-19 | 2021-05-04 | 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 | 2019-04-18 | 2019-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-18 | 2019-04-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-18 | 2019-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-18 | 2019-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-18 | 2019-04-26 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-03-05 | 2019-04-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-03-05 | 2019-04-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-05 | 2019-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-05 | 2019-04-15 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-05 | 2019-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-05 | 2019-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-05 | 2019-04-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-05 | 2019-04-15 | 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 | 2019-03-05 | 2019-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-05 | 2019-04-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-05 | 2019-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-05 | 2019-04-15 | N |
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