A list of the most recent deficiencies for English Valley Nursing 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-08 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-24 | 2023-10-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-24 | 2023-10-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-24 | 2023-10-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-06 | 2022-07-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-06 | 2022-07-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-06 | 2022-07-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-07-06 | 2022-07-07 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-03-03 | 2021-04-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-03 | 2021-04-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-03 | 2021-04-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-03 | 2021-04-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-02-25 | 2021-03-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-25 | 2021-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-25 | 2021-03-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-02-25 | 2021-03-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-25 | 2021-03-15 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-02-25 | 2021-03-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-02-25 | 2021-03-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-02-25 | 2021-03-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-02-25 | 2021-03-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-02-25 | 2021-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-25 | 2021-03-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-02-25 | 2021-02-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-02-25 | 2021-02-26 | 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 | 2021-02-25 | 2021-02-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-25 | 2021-02-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-02-25 | 2021-02-25 | N |
