Deficiency Records for River Valley Healthcare and Wellness Centre, LP
Updated as of April 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-02 | 2024-02-08 | Y |
| 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 |
| 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 |
