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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-01 | 2024-03-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-01 | 2024-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-01 | 2024-03-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-01 | 2024-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-01 | 2024-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-01 | 2024-03-01 | 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 | 2024-02-01 | 2024-03-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-01 | 2024-03-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-01 | 2024-03-01 | 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 | 2024-02-01 | 2024-03-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-01 | 2024-03-01 | 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 | 2024-02-01 | 2024-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-01 | 2024-03-01 | 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 | 2024-02-01 | 2024-03-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-02-01 | 2024-03-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-02-01 | 2024-03-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-02-01 | 2024-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | 2024-03-01 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-02-01 | 2024-03-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-01 | 2024-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-01 | 2024-03-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-01 | 2024-03-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-02-01 | 2024-03-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-02-06 | 2024-02-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-02-06 | 2024-02-29 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-02-06 | 2024-02-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-06 | 2024-02-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-06 | 2024-02-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-06 | 2024-02-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-06 | 2024-02-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-06 | 2024-02-29 | N |
| 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 |
