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Deficiency Records for Pioneer Valley Living and Rehab
A list of the most recent deficiencies for Pioneer Valley Living and Rehab. 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 Pioneer Valley Living and Rehab. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-21 | 2024-03-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-02-15 | 2024-03-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-02-15 | 2024-03-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-02-15 | 2024-03-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-02-15 | 2024-03-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-15 | 2024-03-15 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-02-15 | 2024-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-15 | 2024-03-15 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-02-15 | 2024-03-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-15 | 2024-03-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-02-15 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-15 | 2024-03-15 | N |
| Have a Compliance and Ethics Program. | Health | 2024-02-15 | 2024-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-15 | 2024-03-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-15 | 2024-03-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-15 | 2024-03-15 | Y |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-02-21 | 2024-03-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-13 | 2023-08-18 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-07-13 | 2023-08-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-13 | 2023-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-13 | 2023-08-18 | Y |
| 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 | 2023-07-13 | 2023-08-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-13 | 2023-08-18 | 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 | 2023-07-13 | 2023-08-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-13 | 2023-08-18 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-12-15 | 2023-01-15 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-12-15 | 2023-01-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-15 | 2023-01-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-15 | 2023-01-15 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-19 | 2022-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-19 | 2022-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-19 | 2022-12-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-19 | 2022-12-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-12 | 2021-09-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-08-12 | 2021-09-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-12 | 2021-09-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-08-12 | 2021-09-03 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-08-12 | 2021-09-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-12 | 2021-09-03 | 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 | 2021-08-05 | 2021-08-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-05 | 2021-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-05 | 2021-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-05 | 2021-08-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-12 | 2021-08-26 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-08-12 | 2021-08-26 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-08-12 | 2021-08-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-08-12 | 2021-08-26 | N |
| Develop a communication plan. | Fire Safety | 2021-08-12 | 2021-08-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-12 | 2021-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-12 | 2021-08-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-08-12 | 2021-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-12 | 2021-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-12 | 2021-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-12 | 2021-08-16 | 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 | 2021-08-12 | 2021-08-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-12 | 2021-08-13 | N |
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