A list of the most recent deficiencies for Mill Valley Care 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-18 | 2023-06-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-18 | 2023-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-18 | 2023-06-08 | 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 | 2023-05-18 | 2023-06-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-18 | 2023-06-08 | 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 | 2023-05-18 | 2023-06-08 | 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 | 2023-05-18 | 2023-06-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-25 | 2023-06-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-05-25 | 2023-06-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-25 | 2023-06-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-05-25 | 2023-06-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-25 | 2023-06-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-25 | 2023-06-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-13 | 2023-05-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-19 | 2022-02-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-19 | 2022-02-14 | 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 | 2022-01-19 | 2022-02-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-19 | 2022-02-14 | N |
| Post nurse staffing information every day. | Health | 2022-01-19 | 2022-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-19 | 2022-02-14 | 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 | 2022-01-19 | 2022-02-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-19 | 2022-02-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-19 | 2022-02-14 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-18 | 2022-02-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-18 | 2022-01-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-15 | 2021-04-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-15 | 2021-04-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-15 | 2021-04-15 | Y |
| 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 | 2019-11-14 | 2019-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-14 | 2019-11-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-19 | 2019-11-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-19 | 2019-11-26 | N |
