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Deficiency Records for The Grove at Valhalla Rehab and Nursing Center
A list of the most recent deficiencies for The Grove at Valhalla Rehab and Nursing 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 The Grove at Valhalla Rehab and Nursing 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-14 | 2024-04-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-14 | 2024-04-23 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-28 | 2023-06-21 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2023-03-28 | 2023-06-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-30 | 2023-05-09 | 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 | 2023-03-30 | 2023-05-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-30 | 2023-05-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-03-30 | 2023-05-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-30 | 2023-05-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-30 | 2023-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-30 | 2023-05-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-30 | 2023-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-05-09 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-03-30 | 2023-05-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-30 | 2023-05-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-30 | 2023-05-09 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-28 | 2023-05-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-28 | 2023-04-24 | N |
| Meet other general requirements. | Fire Safety | 2023-03-28 | 2023-04-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-28 | 2023-04-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-28 | 2023-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-21 | 2019-10-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-21 | 2019-10-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-21 | 2019-10-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-21 | 2019-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-21 | 2019-10-04 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-08-21 | 2019-10-04 | N |
| Develop a communication plan. | Fire Safety | 2019-08-23 | 2019-09-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-08-23 | 2019-09-30 | 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 | 2019-08-23 | 2019-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-23 | 2019-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-23 | 2019-09-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-23 | 2019-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-23 | 2019-09-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-08-23 | 2019-09-30 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-09 | 2017-12-28 | N |
| Provide housekeeping and maintenance services. | Health | 2017-11-09 | 2017-12-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-11-09 | 2017-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-09 | 2017-12-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-11-09 | 2017-12-28 | N |
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