Deficiency Records for West Valley Post Acute
Updated as of July 01, 2018
This is not the most recent data for West Valley Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for West 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2018-05-14 | 2018-05-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-14 | 2018-05-22 | Y |
| 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 | 2018-05-14 | 2018-05-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-09 | 2018-05-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-09 | 2018-05-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-10 | 2018-04-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-05 | 2018-04-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-04 | 2018-04-26 | Y |
| 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 | 2018-04-04 | 2018-04-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-09 | 2018-04-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-07 | 2018-02-16 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2018-01-17 | 2018-01-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2018-01-11 | 2018-01-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-09-29 | 2017-10-18 | 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 | 2017-09-29 | 2017-10-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-09-29 | 2017-10-18 | 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 | 2017-09-29 | 2017-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-29 | 2017-10-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-09-29 | 2017-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-29 | 2017-10-18 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-22 | 2017-10-16 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-09-22 | 2017-10-16 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2017-09-22 | 2017-10-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-22 | 2017-10-16 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-09-22 | 2017-10-16 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-09-22 | 2017-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-22 | 2017-10-16 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-09-22 | 2017-10-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-22 | 2017-10-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-22 | 2017-10-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-22 | 2017-10-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-09-22 | 2017-10-16 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-22 | 2017-10-16 | N |
| Keep clinical record information safe. | Health | 2017-09-22 | 2017-10-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-08 | 2017-09-22 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-08 | 2017-06-23 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-01-31 | 2017-02-15 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-02-08 | 2017-02-11 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-09-15 | 2016-11-04 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-09-15 | 2016-11-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-09-15 | 2016-10-25 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-09-15 | 2016-10-25 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-09-15 | 2016-10-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-15 | 2016-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-15 | 2016-10-25 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-09-15 | 2016-10-25 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-09-15 | 2016-10-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-15 | 2016-10-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-09-15 | 2016-10-25 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-15 | 2016-10-25 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-09-15 | 2016-10-25 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2016-09-15 | 2016-10-25 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-15 | 2016-10-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-09-15 | 2016-10-25 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-14 | 2016-10-12 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-09-14 | 2016-10-12 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-09-14 | 2016-10-12 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-09-14 | 2016-10-12 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-09-14 | 2016-10-12 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-09-14 | 2016-10-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-15 | 2016-06-21 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-09-19 | 2015-09-27 | Y |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-05-26 | 2015-07-06 | N |
| A written emergency evacuation plan. | Fire Safety | 2015-05-26 | 2015-07-06 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-05-26 | 2015-07-06 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-05-26 | 2015-07-06 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2015-05-26 | 2015-07-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-05-26 | 2015-07-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-05-26 | 2015-07-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-05-26 | 2015-07-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-05-26 | 2015-07-06 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-05-26 | 2015-07-06 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-05-26 | 2015-07-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-26 | 2015-07-06 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-05-26 | 2015-07-06 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2015-05-26 | 2015-07-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-26 | 2015-07-06 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-05-26 | 2015-07-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-05-26 | 2015-07-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-05-26 | 2015-07-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-09-22 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2015-05-26 | Not Fixed | N |
