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Deficiency Records for Valley Convalescent Hospital

A list of the most recent deficiencies for Valley Convalescent Hospital. 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 Convalescent Hospital. 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?
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-04-12 2024-05-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-12 2024-05-31 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-12 2024-05-31 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 2024-04-12 2024-05-31 N
Ensure medication error rates are not 5 percent or greater. Health 2024-04-12 2024-05-31 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2024-04-12 2024-05-31 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-04-12 2024-05-31 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 2024-04-12 2024-05-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-12 2024-05-31 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-04-12 2024-05-31 N
Provide and implement an infection prevention and control program. Health 2024-04-12 2024-05-31 N
Address patient/client population and determine types of services needed. Fire Safety 2024-04-15 2024-04-29 N
Address subsistence needs for staff and patients. Fire Safety 2024-04-15 2024-04-29 N
Establish policies and procedures for medical documentation. Fire Safety 2024-04-15 2024-04-29 N
Provide emergency officials' contact information. Fire Safety 2024-04-15 2024-04-29 N
Use approved construction type or materials. Fire Safety 2024-04-15 2024-04-29 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-04-15 2024-04-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-15 2024-04-29 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-04-15 2024-04-29 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2024-04-15 2024-04-29 N
Provide a written emergency evacuation plan. Fire Safety 2024-04-15 2024-04-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-15 2024-04-29 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-04-15 2024-04-29 N
Provide and implement an infection prevention and control program. Health 2023-08-17 2023-09-08 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-08-17 2023-09-08 N
Establish policies and procedures for volunteers. Fire Safety 2022-08-01 2022-08-17 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2022-08-01 2022-08-17 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 2022-08-01 2022-08-17 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-08-01 2022-08-17 N
Meet requirements for the use of electrical equipment. Fire Safety 2022-08-01 2022-08-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-29 2022-08-15 N
Provide and implement an infection prevention and control program. Health 2022-07-29 2022-08-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-29 2022-08-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-07-29 2022-08-15 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-06-08 2022-06-23 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2020-01-29 2020-03-04 N
Address patient/client population and determine types of services needed. Fire Safety 2020-01-29 2020-03-04 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2020-01-29 2020-03-04 N
Establish policies and procedures for medical documentation. Fire Safety 2020-01-29 2020-03-04 N
Establish roles under a Waiver declared by secretary. Fire Safety 2020-01-29 2020-03-04 N
List the names and contact information of those in the facility. Fire Safety 2020-01-29 2020-03-04 N
Provide emergency officials' contact information. Fire Safety 2020-01-29 2020-03-04 N
Implement emergency and standby power systems. Fire Safety 2020-01-29 2020-03-04 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2020-01-29 2020-03-04 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2020-01-29 2020-03-04 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2020-01-29 2020-03-04 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2020-01-29 2020-03-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-01-29 2020-03-04 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2019-12-11 2020-01-02 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-12-11 2020-01-02 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-12-11 2020-01-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-12-11 2020-01-02 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-12-11 2020-01-02 N
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 2019-12-11 2020-01-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-12-11 2020-01-02 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-12-11 2020-01-02 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 2019-12-11 2020-01-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-11 2020-01-02 N

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