A list of the most recent deficiencies for Valley View Healthcare Center. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-01 | 2023-11-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-06 | 2023-05-19 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-04-06 | 2023-05-19 | N |
| Develop a communication plan. | Fire Safety | 2023-04-06 | 2023-05-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-06 | 2023-05-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-06 | 2023-05-19 | 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 | 2023-04-06 | 2023-05-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-06 | 2023-05-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-06 | 2023-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-06 | 2023-05-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-06 | 2023-05-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-06 | 2023-05-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-06 | 2023-05-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-06 | 2023-05-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-06 | 2023-05-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-14 | 2023-04-06 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-03-14 | 2023-04-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-14 | 2023-04-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-03-14 | 2023-04-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-14 | 2023-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-14 | 2023-04-06 | 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 | 2023-03-14 | 2023-04-06 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-03-14 | 2023-04-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-14 | 2023-04-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-14 | 2023-04-06 | 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 | 2023-03-14 | 2023-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-14 | 2023-04-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-14 | 2023-04-06 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-03-14 | 2023-04-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-14 | 2023-04-06 | 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 | 2023-03-14 | 2023-04-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-14 | 2023-04-06 | 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 | 2023-03-14 | 2023-04-06 | 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 | 2023-03-14 | 2023-04-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-14 | 2023-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-14 | 2023-04-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-14 | 2023-04-06 | 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 | 2022-08-18 | 2022-09-02 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-01 | 2022-07-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-05 | 2022-06-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-05 | 2022-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-05 | 2022-06-10 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-05-05 | 2022-06-10 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-05-05 | 2022-06-10 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-05-05 | 2022-06-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-05 | 2022-06-10 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-04-06 | 2022-04-22 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-06 | 2022-04-22 | 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 | 2022-04-06 | 2022-04-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-02-28 | 2022-03-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-28 | 2022-03-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-18 | 2022-03-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-18 | 2022-03-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-02-18 | 2022-03-18 | 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 | 2022-02-18 | 2022-03-18 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-02-18 | 2022-03-18 | Y |
| 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 | 2022-02-18 | 2022-03-18 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-02-18 | 2022-03-18 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-02-18 | 2022-03-18 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-18 | 2022-03-18 | Y |
| Meet other general requirements. | Fire Safety | 2021-12-01 | 2021-12-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-01 | 2021-12-16 | 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 | 2021-12-01 | 2021-12-16 | 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 | 2021-12-01 | 2021-12-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-01 | 2021-12-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-01 | 2021-12-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-12-01 | 2021-12-16 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-11-12 | 2021-12-09 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-11-12 | 2021-12-09 | 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 | 2021-11-12 | 2021-12-09 | 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 | 2021-11-12 | 2021-12-09 | 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 | 2021-11-12 | 2021-12-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-11-12 | 2021-12-09 | N |
| Provide activities to meet all resident's needs. | Health | 2021-11-12 | 2021-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-12 | 2021-12-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-12 | 2021-12-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-12 | 2021-12-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-12 | 2021-12-09 | 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 | 2021-11-12 | 2021-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-12 | 2021-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-12 | 2021-12-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-07 | 2021-09-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-20 | 2021-08-19 | Y |
| Provide family notifications of emergency plan. | Fire Safety | 2021-05-17 | 2021-06-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-17 | 2021-06-10 | 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 | 2021-05-17 | 2021-06-10 | 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 | 2021-05-17 | 2021-06-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-05-17 | 2021-06-10 | 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 | 2021-05-17 | 2021-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-17 | 2021-06-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-17 | 2021-06-10 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-05-17 | 2021-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-17 | 2021-06-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-17 | 2021-06-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-17 | 2021-06-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-17 | 2021-06-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-17 | 2021-06-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-17 | 2021-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-07 | 2021-06-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-07 | 2021-06-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-05-07 | 2021-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-07 | 2021-06-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-03-08 | 2021-03-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-08 | 2021-03-25 | Y |
