Deficiency Records for South Valley Post Acute Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for South Valley Post Acute Rehabilitation. 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? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-30 | 2023-12-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-30 | 2023-12-18 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-11-30 | 2023-12-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-13 | 2023-11-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-03 | 2022-12-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-03 | 2022-12-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-03 | 2022-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-03 | 2022-12-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-03 | 2022-12-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-03 | 2022-12-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-03 | 2022-12-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-03 | 2022-12-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-03 | 2022-12-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-03 | 2022-12-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-08 | 2022-10-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-08 | 2022-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-12 | 2020-07-13 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-03-12 | 2020-07-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-12 | 2020-06-02 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-03-12 | 2020-06-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-12 | 2020-06-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-12 | 2020-06-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-03-12 | 2020-06-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-12 | 2020-06-02 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2020-03-12 | 2020-06-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-27 | 2020-04-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-27 | 2020-04-23 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-27 | 2020-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-04-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-27 | 2020-04-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-27 | 2020-04-23 | 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 | 2020-02-27 | 2020-04-23 | 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 | 2020-02-27 | 2020-04-23 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2020-02-27 | 2020-04-23 | 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 | 2020-02-27 | 2020-04-23 | 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 | 2020-02-27 | 2020-04-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-04-23 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-02-27 | 2020-04-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-27 | 2020-04-23 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-02-27 | 2020-04-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-02-27 | 2020-04-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-02-27 | 2020-04-23 | N |
