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Deficiency Records for Florissant Valley Health and Rehabilitation Center
A list of the most recent deficiencies for Florissant Valley Health and Rehabilitation 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 Florissant Valley Health and Rehabilitation 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? |
|---|---|---|---|---|
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-06-27 | 2024-09-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-27 | 2024-09-11 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-27 | 2024-09-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-27 | 2024-08-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-27 | 2024-08-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-09 | 2023-09-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-09 | 2023-08-17 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-09 | 2023-08-17 | 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 | 2023-06-09 | 2023-08-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-09 | 2023-08-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-09 | 2023-08-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-09 | 2023-08-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-09 | 2023-07-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-09 | 2023-07-20 | N |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2023-06-09 | 2023-07-20 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-06-09 | 2023-07-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-09 | 2023-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-09 | 2023-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-07-20 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-09 | 2023-07-20 | 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 | 2023-06-09 | 2023-07-20 | 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 | 2023-06-09 | 2023-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-03 | 2023-03-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-08 | 2023-01-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-01-05 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-08 | 2023-01-05 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-09-19 | 2022-10-19 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-25 | 2022-05-25 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-11-01 | 2021-11-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-01 | 2021-11-28 | Y |
| 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 | 2021-11-01 | 2021-11-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-01 | 2021-11-28 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-11-01 | 2021-11-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-01 | 2021-11-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-01 | 2021-11-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-01 | 2021-11-28 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-01 | 2021-11-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-01 | 2021-11-28 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-11-01 | 2021-11-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-01 | 2021-11-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-22 | 2019-07-02 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-05-22 | 2019-07-02 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-05-22 | 2019-07-02 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-05-22 | 2019-07-02 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-05-22 | 2019-07-02 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-05-22 | 2019-07-02 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-05-22 | 2019-07-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-22 | 2019-07-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-22 | 2019-07-02 | 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 | 2019-05-22 | 2019-07-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-22 | 2019-07-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-22 | 2019-07-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-22 | 2019-07-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-22 | 2019-07-02 | 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 | 2019-05-22 | 2019-07-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-22 | 2019-07-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-22 | 2019-07-02 | 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 | 2019-05-22 | 2019-07-02 | 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 | 2019-05-22 | 2019-07-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-22 | 2019-07-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-22 | 2019-07-02 | 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 | 2019-05-22 | 2019-07-02 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-05-22 | 2019-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-22 | 2019-07-02 | 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 | 2019-05-22 | 2019-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-22 | 2019-07-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-05-22 | 2019-07-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-22 | 2019-07-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-22 | 2019-07-02 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-05-22 | 2019-07-02 | 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 | 2019-05-22 | 2019-07-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-22 | 2019-07-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-22 | 2019-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-22 | 2019-07-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-22 | 2019-07-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-22 | 2019-07-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-05-22 | 2019-07-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-22 | 2019-07-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-22 | 2019-07-02 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-05-22 | 2019-07-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-15 | 2018-07-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-06-15 | 2018-07-30 | N |
| Post nurse staffing information every day. | Health | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-15 | 2018-07-30 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-06-15 | 2018-07-30 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-15 | 2018-07-30 | 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 | 2018-06-15 | 2018-07-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-06-15 | 2018-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-15 | 2018-07-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-06-15 | 2018-07-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-15 | 2018-07-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-15 | 2018-07-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-06-15 | 2018-07-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-06-15 | 2018-07-30 | N |
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