Deficiency Records for River Valley Healthcare and Wellness Centre, LP

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Updated as of March 01, 2024

A list of the most recent deficiencies for River Valley Healthcare and Wellness Centre, LP. 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 2023-09-20 2023-09-29 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-07-24 2023-08-03 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-04-18 2023-04-28 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-15 2022-09-14 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-06-30 2022-07-29 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2022-06-02 2022-06-24 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-04-21 2022-05-06 Y
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-02-24 2022-03-22 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-12-09 2022-03-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-12-09 2022-03-01 N
Provide activities to meet all resident's needs. Health 2021-12-09 2022-03-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-12-09 2022-03-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-09 2022-03-01 N
Provide enough food/fluids to maintain a resident's health. Health 2021-12-09 2022-03-01 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-12-09 2022-03-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-12-09 2022-03-01 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 2021-12-09 2022-03-01 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-12-09 2022-03-01 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2021-12-09 2022-03-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-09 2022-03-01 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-12-09 2022-03-01 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-12-09 2022-03-01 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-12-09 2022-03-01 N
Provide emergency officials' contact information. Fire Safety 2021-12-14 2022-01-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-12-14 2022-01-19 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-30 2021-12-07 Y
Provide and implement an infection prevention and control program. Health 2021-10-08 2021-10-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-06-09 2021-07-02 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-28 2021-05-11 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-03-25 2021-04-06 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-03-23 2021-04-06 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-03-19 2021-04-06 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-03-19 2021-04-06 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-03-17 2021-04-06 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-03-14 2021-04-06 Y
Use approved construction type or materials. Fire Safety 2019-11-21 2019-12-09 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2019-11-21 2019-12-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-11-21 2019-12-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-11-21 2019-12-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-11-21 2019-12-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-11-21 2019-12-09 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-10-30 2019-11-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-10-30 2019-11-20 N
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 2019-10-30 2019-11-20 N
Provide and implement an infection prevention and control program. Health 2019-10-30 2019-11-20 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2018-09-13 2019-01-24 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-09-13 2019-01-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-09-13 2019-01-24 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-09-13 2019-01-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-09-13 2019-01-24 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 2018-09-13 2019-01-24 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2018-09-13 2019-01-24 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2018-09-13 2019-01-24 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2018-09-13 2019-01-24 N
Provide and implement an infection prevention and control program. Health 2018-09-13 2019-01-24 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2018-09-13 2018-12-12 N
Reasonably accommodate the needs and preferences of each resident. Health 2018-09-13 2018-12-12 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2018-09-13 2018-12-12 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-09-13 2018-12-12 N
Ensure each resident receives an accurate assessment. Health 2018-09-13 2018-12-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-09-13 2018-12-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-09-13 2018-12-12 N
Assist a resident in gaining access to vision and hearing services. Health 2018-09-13 2018-12-12 N
Provide enough food/fluids to maintain a resident's health. Health 2018-09-13 2018-12-12 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 2018-09-13 2018-12-12 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2018-09-13 2018-12-12 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 2018-09-13 2018-12-12 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2018-09-13 2018-12-12 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2018-09-13 2018-12-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-09-13 2018-12-12 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2018-09-13 2018-12-12 N
Implement a program that monitors antibiotic use. Health 2018-09-13 2018-12-12 N
Provide properly protected cooking facilities. Fire Safety 2018-09-20 2018-10-08 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2018-09-20 2018-10-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-09-20 2018-10-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-09-20 2018-10-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-09-20 2018-10-08 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2018-09-20 2018-10-08 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2018-09-20 2018-10-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-09-20 2018-10-08 N