Deficiency Records for Valley View Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Valley View Nursing and 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-08 | 2023-08-28 | Y |
| 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 | 2023-05-08 | 2023-08-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-08 | 2023-08-28 | Y |
| 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 | 2023-05-08 | 2023-08-28 | Y |
| 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 | 2023-05-08 | 2023-08-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-08 | 2023-08-28 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-08 | 2023-06-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-08 | 2023-06-09 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-05-08 | 2023-06-09 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-08 | 2023-06-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-08 | 2023-06-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-08 | 2023-06-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-08 | 2023-06-09 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-05-08 | 2023-06-09 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-05-08 | 2023-06-09 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-05-08 | 2023-06-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-08 | 2023-06-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-08 | 2023-06-09 | Y |
| 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 | 2023-05-08 | 2023-06-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-08 | 2023-06-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-08 | 2023-06-09 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-08 | 2023-06-09 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-05-08 | 2023-06-09 | Y |
| Post nurse staffing information every day. | Health | 2023-05-08 | 2023-06-09 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-05-08 | 2023-06-09 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-05-08 | 2023-06-09 | Y |
| 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 | 2023-05-08 | 2023-06-09 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-08 | 2023-06-09 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-08 | 2023-06-09 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-05-08 | 2023-06-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-08 | 2023-06-09 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-01-17 | 2023-02-24 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-01-17 | 2023-02-24 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-01-17 | 2023-02-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-17 | 2023-02-24 | N |
| Have an externally vented heating system. | Fire Safety | 2023-01-17 | 2023-02-24 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-01-17 | 2023-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-25 | 2021-08-05 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-06-25 | 2021-08-05 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-03-29 | 2019-04-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-29 | 2019-04-30 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-03-29 | 2019-04-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-29 | 2019-04-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-03-29 | 2019-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-29 | 2019-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-29 | 2019-04-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-29 | 2019-04-30 | 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 | 2019-03-29 | 2019-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-29 | 2019-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-29 | 2019-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-29 | 2019-04-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Meet other general requirements. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-14 | 2019-01-03 | 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 | 2018-11-14 | 2019-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2018-11-14 | 2019-01-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-18 | 2018-02-06 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2017-12-18 | 2018-02-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-18 | 2018-02-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-12-18 | 2018-02-06 | N |
| Respond appropriately to all alleged violations. | Health | 2017-12-18 | 2018-02-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-18 | 2018-02-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2017-12-18 | 2018-02-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-18 | 2018-02-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-18 | 2018-02-06 | N |
| Provide activities to meet all resident's needs. | Health | 2017-12-18 | 2018-02-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-18 | 2018-02-06 | 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 | 2017-12-18 | 2018-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-18 | 2018-02-06 | 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 | 2017-12-18 | 2018-02-06 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2017-12-18 | 2018-02-06 | 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 | 2017-12-18 | 2018-02-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2017-12-18 | 2018-02-06 | 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 | 2017-12-18 | 2018-02-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-18 | 2018-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-18 | 2018-02-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2017-12-18 | 2018-02-06 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2017-12-18 | 2018-02-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-12-18 | 2018-02-06 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Develop a communication plan. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Meet other general requirements. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-11-22 | 2018-01-05 | N |
