Deficiency Records for West Valley Post Acute
Updated as of January 01, 2020
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? |
|---|---|---|---|---|
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-09-30 | 2019-10-18 | N |
| Establish methods for sharing information. | Fire Safety | 2019-09-30 | 2019-10-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-30 | 2019-10-18 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-09-30 | 2019-10-18 | 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 | 2019-09-30 | 2019-10-18 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-09-30 | 2019-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-30 | 2019-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-19 | 2019-10-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-09-19 | 2019-10-18 | 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 | 2019-09-19 | 2019-10-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-19 | 2019-10-18 | 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 | 2019-09-19 | 2019-10-18 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-09-19 | 2019-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-19 | 2019-10-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-19 | 2019-10-18 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-09-19 | 2019-10-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-19 | 2019-10-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-31 | 2019-06-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-31 | 2019-06-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-21 | 2018-12-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-26 | 2018-11-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-19 | 2018-10-31 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-10-19 | 2018-10-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-15 | 2018-10-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-03 | 2018-10-23 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2018-09-26 | 2018-10-15 | 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 | 2018-09-26 | 2018-10-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-09-26 | 2018-10-15 | 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 | 2018-09-26 | 2018-10-15 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-26 | 2018-10-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-26 | 2018-10-15 | 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 | 2018-09-21 | 2018-10-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-21 | 2018-10-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-21 | 2018-10-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-21 | 2018-10-15 | 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 ne | Health | 2018-09-21 | 2018-10-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-21 | 2018-10-15 | 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 | 2018-09-21 | 2018-10-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-09-21 | 2018-10-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-22 | 2018-10-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-09-14 | 2018-10-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-27 | 2018-09-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-27 | 2018-09-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-27 | 2018-09-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-07-31 | 2018-08-09 | Y |
| Keep all essential equipment working safely. | Health | 2018-07-31 | 2018-08-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-06 | 2018-07-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-06 | 2018-07-17 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-07-06 | 2018-07-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-05 | 2018-07-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-06-18 | 2018-06-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-19 | 2018-06-19 | Y |
| 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 |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-09-19 | 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 | 2018-09-21 | 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 | 2017-09-22 | Not Fixed | N |
