Deficiency Records for Souris Valley Care Center
Updated as of August 01, 2024
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Deficiency Records for Souris Valley Care Center
A list of the most recent deficiencies for Souris Valley Care 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 Souris Valley Care 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-17 | 2024-05-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-17 | 2024-05-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-17 | 2024-05-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-17 | 2024-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-17 | 2024-05-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-17 | 2024-05-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-17 | 2024-05-15 | 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 | 2024-04-17 | 2024-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-17 | 2024-05-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-17 | 2024-05-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-04-17 | 2024-05-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-17 | 2024-05-15 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-25 | 2023-06-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-25 | 2023-06-29 | 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 | 2023-05-25 | 2023-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-06-29 | 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 | 2023-05-25 | 2023-06-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-10 | 2022-03-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-10 | 2022-03-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-10 | 2022-03-17 | N |
| Post nurse staffing information every day. | Health | 2022-02-10 | 2022-03-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-02-10 | 2022-03-17 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-02-10 | 2022-03-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-10 | 2022-03-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-10 | 2022-03-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-10 | 2022-03-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-15 | 2022-03-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-15 | 2022-03-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-15 | 2022-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-15 | 2022-03-16 | N |
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