A list of the most recent deficiencies for Garden Valley Retirement Village. 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 each resident receives an accurate assessment. | Health | 2023-06-29 | 2023-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-29 | 2023-07-12 | 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 | 2023-06-29 | 2023-07-12 | 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 | 2023-06-29 | 2023-07-12 | N |
| Provide or obtain dental services for each resident. | Health | 2023-06-29 | 2023-07-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-29 | 2023-07-12 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-02-17 | 2023-02-27 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-17 | 2023-02-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-17 | 2023-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-17 | 2023-02-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-17 | 2023-02-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-17 | 2023-02-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-21 | 2021-10-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-21 | 2021-10-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-21 | 2021-10-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-21 | 2021-10-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-19 | 2021-09-24 | 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 | 2021-08-19 | 2021-09-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-19 | 2021-09-24 | Y |
| Provide or obtain dental services for each resident. | Health | 2021-08-19 | 2021-09-24 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-08-19 | 2021-09-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-19 | 2021-09-24 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-11-15 | 2019-12-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-15 | 2019-12-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-15 | 2019-12-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-15 | 2019-12-13 | 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 | 2019-10-21 | 2019-11-01 | 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 | 2019-10-21 | 2019-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-21 | 2019-11-01 | 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 | 2019-10-21 | 2019-11-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-10-21 | 2019-11-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-21 | 2019-11-01 | 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 | 2019-10-21 | 2019-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-21 | 2019-11-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-21 | 2019-11-01 | N |
