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Deficiency Records for Pleasant Valley Manor Care Center

A list of the most recent deficiencies for Pleasant Valley Manor Care 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 Pleasant Valley Manor Care 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-25 2023-10-30 Y
Respond appropriately to all alleged violations. Health 2023-09-25 2023-10-30 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-06-22 2023-08-06 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 2023-06-22 2023-08-06 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-06-22 2023-08-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-22 2023-08-06 N
Honor each resident's preferences, choices, values and beliefs. Health 2023-06-22 2023-08-06 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-22 2023-08-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-22 2023-08-06 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 2023-06-22 2023-08-06 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-06-22 2023-08-06 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 2023-06-22 2023-08-06 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2023-06-22 2023-08-06 N
Meet other general requirements. Fire Safety 2023-06-22 2023-08-06 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-06-22 2023-08-06 N
Provide properly protected cooking facilities. Fire Safety 2023-06-22 2023-08-06 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-06-22 2023-08-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-06-22 2023-08-06 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-06-22 2023-08-06 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-06-22 2023-08-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-06-22 2023-08-06 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-06-22 2023-08-06 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-06-22 2023-08-06 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-06-22 2023-08-06 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-04-13 2023-05-19 Y
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 2022-11-02 2022-12-01 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-01-06 2022-02-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-06 2022-02-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-01 2021-10-05 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2021-07-01 2021-08-16 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-07-01 2021-08-16 N
Assure the security of all personal funds of residents deposited with the facility. Health 2021-07-01 2021-08-16 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 2021-07-01 2021-08-16 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-07-01 2021-08-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-07-01 2021-08-16 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-07-01 2021-08-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-01 2021-08-16 N
Provide activities to meet all resident's needs. Health 2021-07-01 2021-08-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-01 2021-08-16 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 2021-07-01 2021-08-16 N
Post nurse staffing information every day. Health 2021-07-01 2021-08-16 N
Ensure medication error rates are not 5 percent or greater. Health 2021-07-01 2021-08-16 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 2021-07-01 2021-08-16 N
Provide and implement an infection prevention and control program. Health 2021-07-01 2021-08-16 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-07-01 2021-08-16 N
Have enough outside ventilation via a window or mechanical ventilation, or both. Health 2021-07-01 2021-08-16 N
Use approved construction type or materials. Fire Safety 2021-07-01 2021-08-16 N
Meet other general requirements. Fire Safety 2021-07-01 2021-08-16 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 2021-07-01 2021-08-16 N
Meet other general requirements that are deficient. Fire Safety 2021-07-01 2021-08-16 N
Provide properly protected cooking facilities. Fire Safety 2021-07-01 2021-08-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-07-01 2021-08-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-07-01 2021-08-16 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-07-01 2021-08-16 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-07-01 2021-08-16 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-07-01 2021-08-16 N
Honor the resident's right to manage his or her financial affairs. Health 2019-02-21 2019-04-05 N
Assure the security of all personal funds of residents deposited with the facility. Health 2019-02-21 2019-04-05 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-02-21 2019-04-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-02-21 2019-04-05 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 2019-02-21 2019-04-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-02-21 2019-04-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-02-21 2019-04-05 N
Provide and implement an infection prevention and control program. Health 2019-02-21 2019-04-05 N
Use approved construction type or materials. Fire Safety 2019-02-21 2019-04-05 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-02-21 2019-04-05 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2019-02-21 2019-04-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-02-21 2019-04-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-02-21 2019-04-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-02-21 2019-04-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-02-21 2019-04-05 N

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