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Deficiency Records for Sandstone Spring Valley
A list of the most recent deficiencies for Sandstone Spring Valley. 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 Sandstone Spring Valley. 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 safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-15 | 2024-03-07 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-22 | 2023-10-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-09-22 | 2023-10-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-22 | 2023-10-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-22 | 2023-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-22 | 2023-10-24 | 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 | 2023-09-22 | 2023-10-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-22 | 2023-10-24 | 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 | 2023-09-22 | 2023-10-24 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-22 | 2023-10-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-22 | 2023-10-24 | 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 | 2023-09-22 | 2023-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-22 | 2023-10-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-22 | 2023-10-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-22 | 2023-10-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-08 | 2023-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-08 | 2023-03-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-02 | 2022-09-21 | Y |
| 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 | 2022-08-02 | 2022-09-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-02 | 2022-09-21 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-08-02 | 2022-09-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-02 | 2022-09-12 | 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 | 2022-08-02 | 2022-09-12 | 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 | 2022-08-02 | 2022-09-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-08-02 | 2022-09-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-02 | 2022-09-12 | 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 | 2022-08-02 | 2022-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-02 | 2022-09-12 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-08-02 | 2022-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-02 | 2022-09-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-02 | 2022-09-12 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-08-02 | 2022-09-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-02 | 2022-09-12 | Y |
| Develop a communication plan. | Fire Safety | 2022-07-29 | 2022-09-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-07-29 | 2022-09-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-29 | 2022-09-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-29 | 2022-09-08 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-07-29 | 2022-09-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-29 | 2022-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-29 | 2022-09-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-07-29 | 2022-09-08 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2022-08-02 | 2022-08-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-28 | 2022-02-24 | 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 | 2022-01-28 | 2022-02-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-28 | 2022-02-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-28 | 2022-02-24 | Y |
| 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 | 2022-01-28 | 2022-02-24 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-09-27 | Not Fixed | 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 | 2024-09-27 | Not Fixed | 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 | 2024-09-27 | Not Fixed | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-27 | Not Fixed | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-27 | Not Fixed | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-09-27 | Not Fixed | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-27 | Not Fixed | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-27 | Not Fixed | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-27 | Not Fixed | 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 | 2024-09-27 | Not Fixed | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-27 | Not Fixed | 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 | 2024-09-27 | Not Fixed | 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 | 2024-09-27 | Not Fixed | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-27 | Not Fixed | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-27 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-27 | Not Fixed | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-09-27 | Not Fixed | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-09-27 | Not Fixed | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-09-27 | Not Fixed | N |
| Install proper backup exit lighting. | Fire Safety | 2024-09-27 | Not Fixed | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-27 | Not Fixed | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-09-27 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-27 | Not Fixed | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-09-27 | Not Fixed | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-27 | Not Fixed | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-27 | Not Fixed | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-27 | Not Fixed | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-09-27 | Not Fixed | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-09-27 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-27 | Not Fixed | N |
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