Deficiency Records for Grand Valley Health and Rehab
Updated as of July 01, 2022
This is not the most recent data for Grand Valley Health and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Grand Valley Health and Rehab. 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 emergency and standby power systems. | Fire Safety | 2021-07-26 | 2021-08-13 | 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 | 2021-07-26 | 2021-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-26 | 2021-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-26 | 2021-08-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-26 | 2021-08-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-26 | 2021-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-26 | 2021-08-13 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-07-20 | 2021-08-06 | 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 | 2021-07-20 | 2021-08-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-20 | 2021-08-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-03-06 | 2020-03-24 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-01-17 | 2020-01-31 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-26 | 2019-12-20 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-11-26 | 2019-12-20 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-11-26 | 2019-12-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-06-10 | 2019-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-10 | 2019-06-28 | 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 | 2019-06-10 | 2019-06-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-10 | 2019-06-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-10 | 2019-06-28 | 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 | 2019-06-10 | 2019-06-28 | 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 | 2019-04-26 | 2019-04-26 | 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 | 2019-04-26 | 2019-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-26 | 2019-04-26 | N |
| Have proper openings in smoke barrier doors. | Fire Safety | 2019-04-26 | 2019-04-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-04 | 2018-05-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-04 | 2018-05-02 | 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 | 2018-04-04 | 2018-05-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-04 | 2018-05-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-04 | 2018-05-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-04 | 2018-05-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-04 | 2018-05-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-03-09 | 2018-04-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-09 | 2018-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-09 | 2018-04-06 | 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 | 2018-03-09 | 2018-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-09 | 2018-04-06 | 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 | 2018-03-09 | 2018-04-06 | 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 | 2018-03-09 | 2018-04-06 | N |
