A list of the most recent deficiencies for Brighton Place Spring Valley. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-10-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-18 | 2023-05-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-18 | 2023-05-09 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-25 | 2023-05-08 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-10-19 | 2022-11-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-18 | 2022-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-07 | 2022-09-26 | Y |
| 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 | 2022-03-18 | 2022-03-31 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-08-19 | 2021-09-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-13 | 2021-07-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-13 | 2021-07-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-13 | 2021-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-13 | 2021-07-19 | N |
| 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 | 2021-05-13 | 2021-07-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-13 | 2021-07-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-13 | 2021-07-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-13 | 2021-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-07-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-27 | 2021-06-20 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-19 | 2021-06-10 | 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 | 2021-05-19 | 2021-06-10 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-19 | 2021-06-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-03 | 2021-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-23 | 2021-05-31 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-22 | 2019-08-22 | 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 | 2019-07-22 | 2019-08-22 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-22 | 2019-08-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-19 | 2019-08-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-19 | 2019-08-19 | 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 | 2019-07-19 | 2019-08-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-19 | 2019-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-19 | 2019-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-25 | 2018-10-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-25 | 2018-10-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-28 | 2018-08-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-06-28 | 2018-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-28 | 2018-08-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-28 | 2018-08-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-28 | 2018-08-15 | 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 necessary and PRN use is limited. | Health | 2018-06-28 | 2018-08-15 | 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 | 2018-06-28 | 2018-08-15 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-06-28 | 2018-08-15 | 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 | 2018-06-28 | 2018-08-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-06-28 | 2018-08-15 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2018-06-28 | 2018-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-28 | 2018-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-28 | 2018-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-18 | Not Fixed | N |
