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Deficiency Records for Pleasant Valley Snf LLC

A list of the most recent deficiencies for Pleasant Valley Snf LLC. 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 Snf LLC. 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?
Observe each nurse aide's job performance and give regular training. Health 2023-12-01 2024-01-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-28 2024-01-23 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-11-28 2024-01-23 N
Have proper medical gas storage and administration areas. Fire Safety 2023-11-28 2024-01-23 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-12-01 2023-12-28 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-12-01 2023-12-27 N
Provide and implement an infection prevention and control program. Health 2023-12-01 2023-12-22 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2023-12-01 2023-12-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-01 2023-12-21 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-12-01 2023-12-21 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-01 2023-12-21 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 2023-12-01 2023-12-21 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 2023-12-01 2023-12-21 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 2023-12-01 2023-12-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-01 2023-12-21 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-12-01 2023-02-02 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-12-01 2023-02-02 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 2022-12-01 2023-02-02 N
Provide properly protected cooking facilities. Fire Safety 2022-12-01 2023-02-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-01 2023-02-02 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-12-01 2023-02-02 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-12-01 2023-02-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-12-01 2023-02-02 N
Have proper openings in smoke barrier doors. Fire Safety 2022-12-01 2023-02-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-12-01 2023-02-02 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-12-01 2023-02-02 N
Have power receptacles that are properly grounded. Fire Safety 2022-12-01 2023-02-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-12-01 2023-02-02 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-12-02 2023-01-20 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 2022-12-02 2023-01-20 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-02 2023-01-20 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-12-02 2023-01-20 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-12-02 2023-01-18 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-12-02 2023-01-10 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-09-17 2021-10-19 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 2021-09-17 2021-10-19 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 2021-09-17 2021-10-19 N
Provide and implement an infection prevention and control program. Health 2021-09-17 2021-10-19 N

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