A list of the most recent deficiencies for Valle Vista 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-10 | 2024-02-07 | 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 | 2023-08-17 | 2023-09-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-17 | 2023-09-30 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-17 | 2023-09-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-17 | 2023-09-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-22 | 2023-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-22 | 2023-01-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-08-08 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-05-26 | 2022-08-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-26 | 2022-08-08 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-05-24 | 2022-07-14 | 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 | 2022-05-24 | 2022-07-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-24 | 2022-07-14 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-05-26 | 2022-07-13 | Y |
| 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 | 2022-05-26 | 2022-07-13 | 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 | 2022-05-26 | 2022-07-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-24 | 2022-06-26 | Y |
| 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 | 2022-05-24 | 2022-06-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-24 | 2022-06-26 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-10-21 | 2019-11-12 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-21 | 2019-11-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-10-21 | 2019-11-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-21 | 2019-11-12 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-10-21 | 2019-11-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-21 | 2019-11-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-21 | 2019-11-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-21 | 2019-11-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-21 | 2019-11-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-21 | 2019-11-12 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2019-10-21 | 2019-11-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-21 | 2019-11-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-21 | 2019-11-12 | 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 | 2019-09-06 | 2019-10-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-09-06 | 2019-10-04 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-11-16 | 2018-12-18 | N |
| Develop a communication plan. | Fire Safety | 2018-11-16 | 2018-12-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-16 | 2018-12-18 | 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 | 2018-11-16 | 2018-12-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-16 | 2018-12-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-16 | 2018-12-18 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-11-16 | 2018-12-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-16 | 2018-12-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-16 | 2018-12-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-16 | 2018-12-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-07 | 2018-11-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-07 | 2018-11-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-07 | 2018-11-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-07 | 2018-11-27 | 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 | 2018-09-07 | 2018-11-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-07 | 2018-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-07 | 2018-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-07 | 2018-11-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-09-07 | 2018-11-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-08-17 | Not Fixed | N |
