Deficiency Records for Mission Valley Post Acute
Updated as of June 01, 2021
This is not the most recent data for Mission Valley Post Acute. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-06 | 2019-03-19 | Y |
| 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 |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-17 | 2018-11-29 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-07-25 | 2018-08-13 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-02-15 | 2018-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-15 | 2018-03-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-02-15 | 2018-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-15 | 2018-03-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-11 | 2018-02-02 | 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 | 2018-01-11 | 2018-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-11 | 2018-02-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-01-11 | 2018-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-06 | Not Fixed | N |
