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Deficiency Records for Umpqua Valley Nursing and Rehabilitation Center
A list of the most recent deficiencies for Umpqua Valley Nursing and Rehabilitation 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 Umpqua Valley Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| 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 | 2024-05-17 | 2024-08-03 | Y |
| Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | Health | 2024-05-17 | 2024-07-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-17 | 2024-07-06 | 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 | 2024-05-17 | 2024-07-06 | N |
| Provide activities to meet all resident's needs. | Health | 2024-05-17 | 2024-07-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-17 | 2024-07-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-17 | 2024-07-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-17 | 2024-07-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-17 | 2024-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-17 | 2024-07-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-17 | 2024-07-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-05-17 | 2024-07-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-17 | 2024-07-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-17 | 2024-07-06 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-05-17 | 2024-07-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-17 | 2024-07-06 | Y |
| Provide appropriate foot care. | Health | 2024-05-17 | 2024-07-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-17 | 2024-07-06 | 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 | 2024-05-17 | 2024-07-06 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-17 | 2024-07-06 | Y |
| Post nurse staffing information every day. | Health | 2024-05-17 | 2024-07-06 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-05-17 | 2024-07-06 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-05-17 | 2024-07-06 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-28 | 2024-07-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-01-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-10 | 2023-04-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-10 | 2023-04-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-10 | 2023-04-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-10 | 2023-04-01 | 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 | 2023-02-10 | 2023-04-01 | 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 | 2023-02-10 | 2023-04-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-10 | 2023-04-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-02-10 | 2023-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-10 | 2023-04-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-10 | 2023-04-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-02-10 | 2023-04-01 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-02-10 | 2023-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-10 | 2023-04-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-14 | 2023-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-13 | 2022-03-14 | 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 | 2022-01-13 | 2022-03-14 | N |
| Provide activities to meet all resident's needs. | Health | 2022-01-13 | 2022-03-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-13 | 2022-03-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-13 | 2022-03-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-01-13 | 2022-03-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-13 | 2022-03-14 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-01-13 | 2022-03-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-01-13 | 2022-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-03-14 | N |
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