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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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