Deficiency Records for Brighton Place Spring Valley
Updated as of June 01, 2020
This is not the most recent data for Brighton Place Spring Valley. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2020-02-07 | 2020-03-03 | Y |
| Post nurse staffing information every day. | Health | 2020-02-07 | 2020-03-03 | Y |
| Have a combustible roofing system that meets safety standards. | Fire Safety | 2020-01-02 | 2020-01-31 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2020-01-02 | 2020-01-31 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-02 | 2020-01-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-18 | 2020-01-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-16 | 2020-01-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-28 | 2019-12-03 | 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 | 2019-10-28 | 2019-12-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-28 | 2019-12-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-28 | 2019-12-03 | 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 |
| 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 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-12 | 2019-07-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-19 | 2019-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-08 | 2018-11-20 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-11-08 | 2018-11-20 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-10-11 | 2018-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-28 | 2018-10-20 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-07-25 | 2018-08-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-25 | 2018-08-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-05 | 2018-08-20 | Y |
| 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 ne | 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 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-24 | 2018-08-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-06-19 | 2018-08-04 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-27 | 2018-03-16 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2017-08-16 | 2017-09-16 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-08-16 | 2017-09-16 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-05-25 | 2017-07-07 | N |
| 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 | 2017-05-25 | 2017-07-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-25 | 2017-07-07 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-25 | 2017-07-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-25 | 2017-07-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-25 | 2017-07-07 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-25 | 2017-07-07 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-05-25 | 2017-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-25 | 2017-07-07 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-05-25 | 2017-07-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-25 | 2017-07-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-25 | 2017-07-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-05-25 | 2017-07-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-25 | 2017-07-07 | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2017-05-25 | 2017-07-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-25 | 2017-07-07 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-05-25 | 2017-07-07 | N |
