Deficiency Records for Owen Valley Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Owen Valley Rehabilitation and 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-19 | 2024-03-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-02-19 | 2024-03-05 | N |
| Develop a communication plan. | Fire Safety | 2024-02-19 | 2024-03-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-02-19 | 2024-03-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-02-19 | 2024-03-05 | N |
| Meet other general requirements. | Fire Safety | 2024-02-19 | 2024-03-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-19 | 2024-03-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-19 | 2024-03-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-19 | 2024-03-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-19 | 2024-03-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-19 | 2024-03-05 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-02-02 | 2024-02-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-02 | 2024-02-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-29 | 2023-07-12 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-06-29 | 2023-07-12 | Y |
| 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 | 2023-03-27 | 2023-04-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-03-27 | 2023-04-13 | 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 | 2023-03-27 | 2023-04-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-27 | 2023-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-27 | 2023-04-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-27 | 2023-04-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-09 | 2023-03-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-09 | 2023-03-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-09 | 2023-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-09 | 2023-03-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-09 | 2023-03-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-09 | 2023-03-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-08 | 2023-02-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-07 | 2022-04-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-07 | 2022-04-11 | 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 | 2022-04-07 | 2022-04-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-07 | 2022-03-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-07 | 2022-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-07 | 2022-03-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-07 | 2022-03-29 | N |
