A list of the most recent deficiencies for Haven Health Green Valley, LLC. 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 testing and exercise requirements. | Fire Safety | 2023-01-13 | 2023-04-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-13 | 2023-04-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-13 | 2023-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-13 | 2023-04-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-13 | 2023-04-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-01-13 | 2023-04-13 | 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 | 2023-01-13 | 2023-04-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-13 | 2023-04-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-01-13 | 2023-04-13 | 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 | 2023-01-13 | 2023-04-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-13 | 2023-04-13 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-01-13 | 2023-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-13 | 2023-04-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-01-13 | 2023-04-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-13 | 2023-04-13 | 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 | 2023-01-13 | 2023-04-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-13 | 2023-04-13 | 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 | 2023-01-13 | 2023-04-13 | 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 | 2023-01-13 | 2023-04-13 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-01-13 | 2023-04-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-10-29 | 2021-12-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-29 | 2021-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-29 | 2021-12-06 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-10-29 | 2021-12-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-29 | 2021-12-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-10-28 | 2021-11-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-28 | 2021-11-25 | 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 | 2021-10-28 | 2021-11-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-28 | 2021-11-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-28 | 2021-11-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-28 | 2021-11-25 | 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 | 2021-10-28 | 2021-11-25 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-10-28 | 2021-11-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-28 | 2021-11-25 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-28 | 2021-11-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-02 | 2019-08-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-02 | 2019-08-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-02 | 2019-08-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-02 | 2019-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-02 | 2019-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-02 | 2019-08-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-08-02 | 2019-08-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-31 | 2019-08-28 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-31 | 2019-08-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-31 | 2019-08-28 | N |
