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Deficiency Records for Grand Valley Health Care Center
A list of the most recent deficiencies for Grand Valley Health Care 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 Grand Valley Health Care 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? |
|---|---|---|---|---|
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-07-25 | 2024-08-22 | Y |
| 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 | 2024-02-01 | 2024-02-23 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-11-03 | 2023-12-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-03 | 2023-12-02 | 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 | 2023-11-03 | 2023-12-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-03 | 2023-12-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-03 | 2023-12-02 | 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 | 2023-11-03 | 2023-12-02 | 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 | 2023-11-03 | 2023-12-02 | 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 | 2023-11-03 | 2023-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-03 | 2023-12-02 | 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 | 2023-11-03 | 2023-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-03 | 2023-12-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-03 | 2023-12-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-11-03 | 2023-12-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-03 | 2023-11-22 | 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 | 2023-11-03 | 2023-11-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-03 | 2023-11-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-03 | 2023-11-22 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-11-03 | 2023-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-03 | 2023-11-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-03 | 2023-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-03 | 2023-11-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-03 | 2023-11-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-03 | 2023-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-03 | 2023-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-03 | 2023-11-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-03 | 2023-11-22 | N |
| Keep all essential equipment working safely. | Health | 2023-08-03 | 2023-08-03 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-07-06 | 2023-07-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-09 | 2023-05-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-01 | 2023-05-19 | Y |
| 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 | 2023-01-25 | 2023-02-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-17 | 2023-01-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-28 | 2023-01-18 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-10-13 | 2022-11-11 | 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 | 2022-10-13 | 2022-11-11 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-14 | 2022-11-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-10-14 | 2022-11-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-14 | 2022-11-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-14 | 2022-11-07 | 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 | 2022-10-14 | 2022-11-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-14 | 2022-11-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-14 | 2022-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-14 | 2022-11-07 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-10-14 | 2022-11-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-14 | 2022-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-14 | 2022-11-07 | 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 | 2022-10-14 | 2022-11-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-14 | 2022-11-07 | 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 | 2022-10-14 | 2022-11-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-14 | 2022-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-11-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-14 | 2022-11-07 | Y |
| 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 | 2022-10-14 | 2022-11-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-12 | 2022-10-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-12 | 2022-10-07 | Y |
| 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 | 2022-09-12 | 2022-10-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-12 | 2022-10-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-17 | 2022-10-03 | Y |
| 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 | 2022-09-17 | 2022-10-03 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-09 | 2022-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-13 | 2022-09-23 | Y |
| Post nurse staffing information every day. | Health | 2022-09-16 | 2022-09-20 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-08-06 | 2022-08-29 | Y |
| 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 | 2022-08-06 | 2022-08-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-02 | 2022-08-12 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-06-30 | 2022-07-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-28 | 2021-11-09 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2020-03-12 | 2020-04-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-03-12 | 2020-04-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-12 | 2020-04-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-03-12 | 2020-04-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-12 | 2020-04-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-12 | 2020-04-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-05 | 2020-03-27 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-03-05 | 2020-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-05 | 2020-03-27 | 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 | 2020-03-05 | 2020-03-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-03-05 | 2020-03-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-05 | 2020-03-27 | 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 | 2020-03-05 | 2020-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-03-27 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2020-03-05 | 2020-03-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-05 | 2020-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-03-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-03-05 | 2020-03-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-03-05 | 2020-03-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-10-14 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-03-05 | Not Fixed | N |
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