A list of the most recent deficiencies for High Valley Lodge. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-25 | 2024-02-15 | Y |
| Assess the resident when there is a significant change in condition | Health | 2024-01-25 | 2024-02-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-02-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-13 | 2022-05-31 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-01-14 | 2022-05-23 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2022-03-23 | 2022-03-28 | 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 | 2022-01-28 | 2022-02-23 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-28 | 2022-02-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-14 | 2022-02-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-14 | 2022-02-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-14 | 2022-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-14 | 2022-02-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-14 | 2022-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-14 | 2022-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-14 | 2022-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-02-14 | N |
| Report COVID19 data to residents and families. | Health | 2022-01-14 | 2022-02-14 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-14 | 2022-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-11 | 2021-04-02 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-18 | 2019-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-18 | 2019-12-13 | 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 | 2019-11-18 | 2019-12-13 | 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 | 2019-11-18 | 2019-12-13 | 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 | 2019-11-18 | 2019-12-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-18 | 2019-12-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-20 | 2019-12-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-12-17 | 2019-01-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-12-17 | 2019-01-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-12-14 | 2019-01-03 | N |
| 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 | 2018-12-14 | 2019-01-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-14 | 2019-01-03 | 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 | 2018-12-14 | 2019-01-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-14 | 2019-01-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-14 | 2019-01-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-12-14 | 2019-01-03 | 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 | 2018-12-14 | 2019-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-14 | 2019-01-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-12-14 | 2019-01-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-11-18 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-12-14 | Not Fixed | N |
