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Deficiency Records for Pelican Valley Health Center

A list of the most recent deficiencies for Pelican Valley Health 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 Pelican Valley Health 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?
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-08 2023-12-12 N
Provide and implement an infection prevention and control program. Health 2023-11-08 2023-12-12 N
Implement a program that monitors antibiotic use. Health 2023-11-08 2023-12-12 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-11-08 2023-12-12 N
Implement emergency and standby power systems. Fire Safety 2023-11-08 2023-12-12 N
Install proper backup exit lighting. Fire Safety 2023-11-07 2023-12-12 N
Provide properly protected cooking facilities. Fire Safety 2023-11-07 2023-12-12 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-07 2023-12-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-07 2023-12-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-11-07 2023-12-12 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-11-07 2023-12-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-07 2023-12-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-11-07 2023-12-12 N
Ensure each resident receives an accurate assessment. Health 2023-02-22 2023-04-05 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-02-22 2023-04-05 N
Perform COVID19 testing on residents and staff. Health 2023-02-22 2023-04-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-02-28 2023-04-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-02-28 2023-04-05 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2021-04-22 2021-05-31 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-04-22 2021-05-31 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-04-22 2021-05-31 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-22 2021-05-31 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 2021-04-22 2021-05-31 N
Conduct testing and exercise requirements. Fire Safety 2021-04-22 2021-05-31 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 2021-04-20 2021-05-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-04-20 2021-05-31 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-04-22 2021-05-24 N

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