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Deficiency Records for Valley View Skilled Nursing and Rehabilitation
A list of the most recent deficiencies for Valley View Skilled Nursing 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 Valley View Skilled Nursing 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-23 | 2024-05-10 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-23 | 2023-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-23 | 2023-10-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-08-23 | 2023-10-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-23 | 2023-10-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-23 | 2023-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-23 | 2023-10-11 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-08-25 | 2023-09-29 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-08-25 | 2023-09-29 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-08-25 | 2023-09-29 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-08-25 | 2023-09-29 | 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 | 2023-08-25 | 2023-09-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-08-25 | 2023-09-29 | 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 | 2023-08-25 | 2023-09-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-25 | 2023-09-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-25 | 2023-09-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-25 | 2023-09-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-25 | 2023-09-29 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-25 | 2023-09-29 | 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 | 2023-08-25 | 2023-09-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-25 | 2023-09-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-25 | 2023-09-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-25 | 2023-09-29 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-08-25 | 2023-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-25 | 2023-09-29 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-08-25 | 2023-09-29 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-08-25 | 2023-09-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-23 | 2023-09-27 | N |
| Meet other general requirements. | Fire Safety | 2023-08-23 | 2023-09-27 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-23 | 2023-09-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-23 | 2023-09-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-23 | 2023-09-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-23 | 2023-09-27 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-08-23 | 2023-09-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-23 | 2023-09-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-23 | 2023-09-27 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-08-23 | 2023-09-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-25 | 2023-06-14 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-05-25 | 2023-06-14 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-12-12 | 2022-12-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-16 | 2022-09-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-16 | 2022-09-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-18 | 2022-08-12 | 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 | 2022-07-18 | 2022-08-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-29 | 2022-07-05 | 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 | 2022-04-29 | 2022-06-12 | 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 | 2022-04-29 | 2022-06-12 | 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 | 2022-04-29 | 2022-06-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-29 | 2022-06-12 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-04-29 | 2022-06-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-29 | 2022-06-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-04-29 | 2022-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-29 | 2022-06-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-29 | 2022-06-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-29 | 2022-06-12 | N |
| Provide activities to meet all resident's needs. | Health | 2022-04-29 | 2022-06-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-04-29 | 2022-06-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-29 | 2022-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-29 | 2022-06-12 | 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 | 2022-04-29 | 2022-06-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-29 | 2022-06-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-04-29 | 2022-06-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-29 | 2022-06-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-04-29 | 2022-06-12 | 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 | 2022-04-29 | 2022-06-12 | 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 | 2022-04-29 | 2022-06-12 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-04-29 | 2022-06-12 | N |
| Provide or obtain dental services for each resident. | Health | 2022-04-29 | 2022-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-29 | 2022-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-29 | 2022-06-12 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-04-29 | 2022-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-29 | 2022-06-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-29 | 2022-06-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-04-29 | 2022-06-12 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-29 | 2022-06-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-29 | 2022-06-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-29 | 2022-06-12 | 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 | 2022-04-29 | 2022-06-12 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Establish methods for sharing information. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Meet other general requirements. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-04-22 | 2022-05-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-17 | 2022-04-09 | 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 | 2022-03-17 | 2022-04-09 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-28 | 2022-04-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-28 | 2022-04-09 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-02-28 | 2022-04-09 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-28 | 2022-04-09 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-02-28 | 2022-04-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-28 | 2022-02-18 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-01-28 | 2022-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-02-11 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-12 | 2022-02-11 | 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 | 2022-01-12 | 2022-02-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-29 | 2019-06-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-29 | 2019-06-15 | 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 | 2019-04-29 | 2019-06-15 | N |
| Respond appropriately to all alleged violations. | Health | 2019-04-29 | 2019-06-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-29 | 2019-06-15 | 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 | 2019-04-29 | 2019-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-29 | 2019-06-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-04-29 | 2019-06-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-04-29 | 2019-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-29 | 2019-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-29 | 2019-06-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-04-29 | 2019-06-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-29 | 2019-06-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-29 | 2019-06-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-04-29 | 2019-06-15 | 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 | 2019-04-29 | 2019-06-15 | 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 | 2019-04-29 | 2019-06-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-04-29 | 2019-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-29 | 2019-06-15 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-04-29 | 2019-06-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-04-29 | 2019-06-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-29 | 2019-06-15 | 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 | 2019-04-29 | 2019-06-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-29 | 2019-06-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-04-29 | 2019-06-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-04-29 | 2019-06-15 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-04-29 | 2019-06-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-29 | 2019-06-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-04-29 | 2019-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-29 | 2019-06-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-22 | 2019-05-20 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-04-22 | 2019-05-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-22 | 2019-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-22 | 2019-05-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-22 | 2019-05-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-22 | 2019-05-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-22 | 2019-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-22 | 2019-05-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-22 | 2019-05-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-22 | 2019-05-20 | N |
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