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Deficiency Records for Chapman Valley Manor

A list of the most recent deficiencies for Chapman Valley Manor. 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 Chapman Valley Manor. 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?
Use approved construction type or materials. Fire Safety 2024-10-21 2024-11-04 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2024-10-21 2024-11-04 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2024-10-21 2024-11-04 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-10-21 2024-11-04 N
Provide properly protected cooking facilities. Fire Safety 2024-10-21 2024-11-04 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-10-21 2024-11-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-10-21 2024-11-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-10-21 2024-11-04 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-10-21 2024-11-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-10-21 2024-11-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-10-21 2024-11-04 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-09-18 2024-09-24 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 2024-09-18 2024-09-24 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 2024-09-18 2024-09-24 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 2024-09-18 2024-09-24 N
Ensure that residents are free from significant medication errors. Health 2024-09-18 2024-09-24 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-09-18 2024-09-24 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 2024-09-18 2024-09-24 N
Provide and implement an infection prevention and control program. Health 2024-09-18 2024-09-24 N
Ensure that residents are free from significant medication errors. Health 2024-01-17 2024-01-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-17 2024-01-10 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-04-04 2023-04-26 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-04-04 2023-04-26 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2023-04-04 2023-04-26 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2023-04-04 2023-04-26 N
Establish policies and procedures for volunteers. Fire Safety 2023-04-04 2023-04-26 N
Develop a communication plan. Fire Safety 2023-04-04 2023-04-26 N
Provide primary/alternate means for communication. Fire Safety 2023-04-04 2023-04-26 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2023-04-04 2023-04-26 N
Provide family notifications of emergency plan. Fire Safety 2023-04-04 2023-04-26 N
Implement emergency and standby power systems. Fire Safety 2023-04-04 2023-04-26 N
Use approved construction type or materials. Fire Safety 2023-04-04 2023-04-26 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-04-04 2023-04-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-04 2023-04-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-04 2023-04-26 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-04-04 2023-04-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-04-04 2023-04-26 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-04-04 2023-04-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-04 2023-04-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-04-04 2023-04-26 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-03-07 2023-03-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-07 2023-03-27 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-03-07 2023-03-27 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 2023-03-07 2023-03-27 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 2023-03-07 2023-03-27 N
Provide and implement an infection prevention and control program. Health 2023-03-07 2023-03-27 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 2022-05-10 2022-05-19 Y
Have properly located and lighted "Exit" signs. Fire Safety 2021-10-12 2021-11-17 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-10-12 2021-11-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-10-12 2021-11-17 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-10-12 2021-11-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-10-12 2021-11-17 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-10-12 2021-11-17 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-10-12 2021-11-17 N
Respond appropriately to all alleged violations. Health 2021-09-02 2021-09-14 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 2021-09-02 2021-09-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-09-02 2021-09-14 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 2021-09-02 2021-09-14 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-09-02 2021-09-14 N

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