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Deficiency Records for Swannanoa Valley Health and Rehabilitation
A list of the most recent deficiencies for Swannanoa Valley Health and Rehabilitation. 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 Swannanoa Valley Health and Rehabilitation. 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 properly protected cooking facilities. | Fire Safety | 2023-08-22 | 2023-11-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-22 | 2023-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-22 | 2023-11-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-22 | 2023-11-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-22 | 2023-11-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-22 | 2023-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-22 | 2023-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-20 | 2023-08-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-08-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-20 | 2023-08-09 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-20 | 2023-08-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-03 | 2022-11-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-03 | 2022-11-18 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-11-03 | 2022-11-18 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-03 | 2022-11-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-03 | 2022-11-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-21 | 2022-11-03 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-21 | 2022-11-03 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-07-21 | 2022-11-03 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-14 | 2022-04-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-23 | 2021-12-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-23 | 2021-12-29 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-11-23 | 2021-12-29 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-11-23 | 2021-12-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-23 | 2021-12-29 | 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 | 2021-11-23 | 2021-12-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-23 | 2021-12-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-23 | 2021-12-29 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2021-11-23 | 2021-12-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-23 | 2021-12-29 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-23 | 2021-12-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-23 | 2021-12-29 | Y |
| Provide or obtain dental services for each resident. | Health | 2021-11-23 | 2021-12-29 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-11-23 | 2021-12-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-23 | 2021-12-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-23 | 2021-12-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-23 | 2021-12-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-08 | 2020-01-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-11-08 | 2020-01-16 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-11-08 | 2020-01-16 | 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 | 2019-11-08 | 2020-01-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-08 | 2020-01-16 | 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 | 2019-11-08 | 2020-01-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-08 | 2020-01-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-08 | 2020-01-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-11-08 | 2020-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-08 | 2020-01-16 | 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 | 2019-11-08 | 2020-01-16 | 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 | 2019-11-08 | 2020-01-16 | N |
| Dispose of garbage and refuse properly. | Health | 2019-11-08 | 2020-01-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-10 | 2019-12-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-10 | 2019-12-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2019-12-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-08 | 2019-12-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-11-08 | 2019-12-05 | N |
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