A list of the most recent deficiencies for Mission Valley Post Acute. 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 pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-19 | 2022-10-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-21 | 2022-08-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-21 | 2022-08-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-07 | 2022-06-29 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-03-09 | 2022-03-14 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-10-21 | 2021-12-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-10-21 | 2021-12-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-21 | 2021-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-21 | 2021-12-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-21 | 2021-12-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-21 | 2021-12-15 | 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 | 2021-10-21 | 2021-12-15 | 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 | 2021-10-21 | 2021-12-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-21 | 2021-12-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-21 | 2021-12-15 | 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 | 2021-10-21 | 2021-12-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-21 | 2021-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-21 | 2021-12-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-21 | 2021-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-12-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-21 | 2021-12-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-10-21 | 2021-12-10 | N |
| Use approved construction type or materials. | Fire Safety | 2021-10-28 | 2021-11-15 | 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 | 2021-10-28 | 2021-11-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-10-28 | 2021-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-28 | 2021-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-28 | 2021-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-28 | 2021-11-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-15 | 2020-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2019-11-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-11-21 | 2019-11-22 | N |
| Use approved construction type or materials. | Fire Safety | 2019-02-08 | 2019-03-04 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-02-08 | 2019-03-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-08 | 2019-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-08 | 2019-03-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-08 | 2019-03-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-08 | 2019-03-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-08 | 2019-03-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-08 | 2019-03-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-06 | 2019-01-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-06 | 2019-01-03 | 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 | 2018-12-06 | 2019-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-06 | 2019-01-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-12-06 | 2019-01-03 | N |
