Deficiency Records for Valley Convalescent Hospital
Updated as of August 01, 2020
This is not the most recent data for Valley Convalescent Hospital. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-23 | 2019-08-08 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-03-14 | 2019-03-27 | Y |
| Address subsistence needs for staff and patients. | 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 |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-17 | 2018-06-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-17 | 2018-06-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-17 | 2018-06-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-25 | 2017-12-04 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-25 | 2017-12-04 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-25 | 2017-12-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-25 | 2017-12-04 | N |
