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Deficiency Records for Hemet Valley Healthcare Center
A list of the most recent deficiencies for Hemet Valley Healthcare 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 Hemet Valley Healthcare 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2024-08-06 | 2024-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-06 | 2024-09-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-06 | 2024-09-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-06 | 2024-09-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-06 | 2024-09-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-06 | 2024-09-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-31 | 2024-08-31 | 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 | 2024-07-31 | 2024-08-31 | 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 | 2024-07-31 | 2024-08-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-31 | 2024-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-31 | 2024-08-31 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-07-31 | 2024-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-31 | 2024-08-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-31 | 2024-08-31 | 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 | 2024-07-31 | 2024-07-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-18 | 2024-05-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-18 | 2024-05-16 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Use approved construction type or materials. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Provide large enough exits. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2022-07-06 | 2022-07-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-06 | 2022-07-27 | 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 | 2022-06-27 | 2022-07-22 | 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 | 2022-06-27 | 2022-07-22 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-06-27 | 2022-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-27 | 2022-07-22 | N |
| Dispose of garbage and refuse properly. | Health | 2022-06-27 | 2022-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-27 | 2022-07-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-07 | 2022-03-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-07 | 2022-03-29 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-09-19 | 2019-10-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-09-19 | 2019-10-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-19 | 2019-10-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-19 | 2019-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-19 | 2019-10-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-09-19 | 2019-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-19 | 2019-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-19 | 2019-10-15 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2019-09-19 | 2019-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-19 | 2019-10-15 | 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 | 2019-08-22 | 2019-09-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-22 | 2019-09-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-22 | 2019-09-24 | 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 | 2019-08-22 | 2019-09-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-22 | 2019-09-24 | N |
| 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 | 2019-08-22 | 2019-09-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-22 | 2019-09-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-22 | 2019-09-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-22 | 2019-09-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-22 | 2019-09-24 | 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 | 2019-08-22 | 2019-09-24 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-08-22 | 2019-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-22 | 2019-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-09-24 | N |
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