Deficiency Records for Valley Convalescent Hospital
Updated as of May 01, 2024
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Deficiency Records for Valley Convalescent Hospital
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.
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 |
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