A list of the most recent deficiencies for Valley Convalescent Hospital. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-17 | 2023-09-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-08-01 | 2022-08-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-08-01 | 2022-08-17 | 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 | 2022-08-01 | 2022-08-17 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-08-01 | 2022-08-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-08-01 | 2022-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-29 | 2022-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-29 | 2022-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-29 | 2022-08-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-29 | 2022-08-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-08 | 2022-06-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-29 | 2020-03-04 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-12-11 | 2020-01-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-11 | 2020-01-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-11 | 2020-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-11 | 2020-01-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-11 | 2020-01-02 | 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 | 2019-12-11 | 2020-01-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-11 | 2020-01-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-11 | 2020-01-02 | 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 | 2019-12-11 | 2020-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-11 | 2020-01-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-01 | 2019-03-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-01 | 2019-03-19 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-02-01 | 2019-03-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-02-01 | 2019-03-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-01 | 2019-03-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-15 | 2019-01-10 | 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 | 2018-11-15 | 2019-01-10 | 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 | 2018-11-15 | 2019-01-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-15 | 2019-01-10 | 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 | 2018-11-15 | 2019-01-10 | N |
