A list of the most recent deficiencies for Sierra Valley Rehab Center. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-13 | 2023-10-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-19 | 2023-10-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-15 | 2023-05-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-21 | 2023-04-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-21 | 2023-04-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-14 | 2023-03-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-14 | 2023-03-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-29 | 2022-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-17 | 2022-06-03 | Y |
| Keep all essential equipment working safely. | Health | 2022-05-10 | 2022-06-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-10 | 2022-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-10 | 2022-04-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-10 | 2022-04-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-10 | 2022-04-06 | 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 | 2022-03-10 | 2022-04-06 | N |
| Post nurse staffing information every day. | Health | 2022-03-10 | 2022-04-06 | 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 | 2022-03-10 | 2022-04-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-10 | 2022-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-10 | 2022-04-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-03-10 | 2022-04-06 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-16 | 2022-04-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-03-16 | 2022-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-16 | 2022-04-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-16 | 2022-04-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-14 | 2021-10-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-14 | 2021-10-21 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-11-27 | 2019-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-27 | 2019-12-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-27 | 2019-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-27 | 2019-12-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-27 | 2019-12-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-27 | 2019-12-31 | 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 | 2019-11-21 | 2019-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-12-12 | 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 | 2019-12-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-12-18 | 2019-01-08 | 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 | 2018-12-18 | 2019-01-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-18 | 2019-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-18 | 2019-01-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-18 | 2019-01-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-11-08 | 2018-12-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-08 | 2018-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-08 | 2018-12-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-08 | 2018-12-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-08 | 2018-12-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-08 | 2018-12-12 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-11-08 | 2018-12-12 | 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 | 2018-11-08 | 2018-12-12 | 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 | 2018-11-08 | 2018-12-12 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-11-08 | 2018-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-08 | 2018-12-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-08 | 2018-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-08 | 2018-12-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-11-08 | 2018-12-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-11-08 | 2018-12-12 | N |
