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Deficiency Records for Valencia Gardens Health Care Center
A list of the most recent deficiencies for Valencia Gardens Health 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 Valencia Gardens Health 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? |
---|---|---|---|---|
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-06-11 | 2024-06-29 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2024-06-11 | 2024-06-29 | N |
Provide primary/alternate means for communication. | Fire Safety | 2024-06-11 | 2024-06-29 | N |
Use approved construction type or materials. | Fire Safety | 2024-06-11 | 2024-06-29 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-06-11 | 2024-06-29 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-06-11 | 2024-06-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-11 | 2024-06-29 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2024-06-11 | 2024-06-29 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-06-11 | 2024-06-29 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-06 | 2024-06-28 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-06 | 2024-06-28 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-06 | 2024-06-28 | 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 | 2024-06-06 | 2024-06-28 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-06 | 2024-06-28 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-06 | 2024-06-28 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-06 | 2024-06-28 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-06 | 2024-06-28 | N |
Ensure that residents are free from significant medication errors. | Health | 2024-06-06 | 2024-06-28 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-06-06 | 2024-06-28 | 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 | 2024-06-06 | 2024-06-28 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-06 | 2024-06-28 | N |
Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-06-28 | N |
Keep all essential equipment working safely. | Health | 2024-06-06 | 2024-06-28 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-06-06 | 2024-06-28 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-06 | 2024-06-28 | N |
Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-05 | Y |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-07-20 | 2023-08-08 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-07-24 | 2023-08-03 | 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 | 2023-07-24 | 2023-08-03 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-24 | 2023-08-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-24 | 2023-08-03 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-24 | 2023-08-03 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-30 | 2023-06-09 | Y |
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 | 2022-06-10 | 2022-06-26 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-06-26 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-24 | 2019-07-26 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-24 | 2019-07-26 | 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 | 2019-05-24 | 2019-07-26 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-24 | 2019-07-26 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-05-24 | 2019-07-26 | 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 | 2019-05-24 | 2019-07-26 | N |
Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-07-26 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-05-24 | 2019-07-26 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Provide emergency officials' contact information. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Provide primary/alternate means for communication. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
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