Deficiency Records for Valley Hi Nursing Home
Updated as of August 01, 2024
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Deficiency Records for Valley Hi Nursing Home
A list of the most recent deficiencies for Valley Hi Nursing Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Valley Hi Nursing Home. 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? |
|---|---|---|---|---|
| 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 | 2024-03-20 | 2024-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-09 | 2024-05-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-09 | 2024-05-10 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-04-09 | 2024-05-09 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2024-04-09 | 2024-05-09 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-04-09 | 2024-05-01 | 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 | 2024-04-08 | 2024-04-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-20 | 2024-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-20 | 2024-04-16 | 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 | 2024-03-20 | 2024-04-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-20 | 2024-04-16 | 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 | 2024-03-20 | 2024-04-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-20 | 2024-04-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-03-20 | 2024-04-16 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-03-20 | 2024-04-16 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-03-20 | 2024-04-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-20 | 2024-04-16 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-03-20 | 2024-04-16 | N |
| Keep all essential equipment working safely. | Health | 2024-03-20 | 2024-04-16 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-03-20 | 2024-04-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-03-01 | 2023-04-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-01 | 2023-04-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-01 | 2023-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-01 | 2023-03-31 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-09 | 2023-03-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-09 | 2023-03-26 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-09 | 2023-03-26 | 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 | 2023-02-09 | 2023-03-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-09 | 2023-03-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-03 | 2023-01-26 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-08-04 | 2022-09-01 | Y |
| 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 | 2022-08-04 | 2022-09-01 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-03-25 | 2022-06-27 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-03-25 | 2022-06-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-25 | 2022-06-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-25 | 2022-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-25 | 2022-04-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-26 | 2022-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-26 | 2022-03-25 | 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 | 2022-01-26 | 2022-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-26 | 2022-03-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-01-26 | 2022-03-25 | 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 | 2022-01-26 | 2022-03-25 | 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 | 2022-01-26 | 2022-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-26 | 2022-03-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-25 | 2022-03-25 | N |
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