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Deficiency Records for Valley Manor and Rehabilitation Center
A list of the most recent deficiencies for Valley Manor 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 Valley Manor 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-10 | 2024-08-17 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-07-10 | 2024-08-17 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-07-10 | 2024-08-17 | 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 | 2024-07-10 | 2024-08-17 | 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 | 2024-07-10 | 2024-08-17 | N |
| 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 | 2024-07-10 | 2024-08-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-10 | 2024-08-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-10 | 2024-08-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-10 | 2024-08-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-10 | 2024-08-17 | 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 | 2024-07-10 | 2024-08-17 | 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 | 2024-07-10 | 2024-08-17 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-07-10 | 2024-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-10 | 2024-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-10 | 2024-08-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-07-10 | 2024-08-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-10 | 2024-08-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-10 | 2024-08-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-23 | 2023-04-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-23 | 2023-04-20 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-02-23 | 2023-04-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-23 | 2023-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-23 | 2023-04-20 | N |
| Develop a communication plan. | Fire Safety | 2023-02-23 | 2023-04-20 | N |
| Meet other general requirements. | Fire Safety | 2023-02-23 | 2023-04-20 | 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 | 2023-02-23 | 2023-04-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-23 | 2023-04-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-23 | 2023-04-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-01-08 | 2020-03-05 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-08 | 2020-03-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-08 | 2020-03-05 | 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 | 2020-01-08 | 2020-03-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-08 | 2020-03-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-08 | 2020-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-08 | 2020-03-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-01-08 | 2020-03-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-08 | 2020-03-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-08 | 2020-03-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-08 | 2020-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-08 | 2020-03-05 | N |
| Use approved construction type or materials. | Fire Safety | 2024-07-08 | Not Fixed | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-08 | Not Fixed | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-07-08 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-08 | Not Fixed | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-08 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-08 | Not Fixed | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-08 | Not Fixed | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-08 | Not Fixed | N |
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