A list of the most recent deficiencies for Pleasant Valley Manor. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-15 | 2023-04-14 | 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 | 2023-03-15 | 2023-04-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-15 | 2023-04-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-15 | 2023-04-14 | 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 | 2023-03-15 | 2023-04-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-15 | 2023-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-15 | 2023-04-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-15 | 2023-04-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-15 | 2023-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-15 | 2023-04-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-28 | 2023-03-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-28 | 2023-03-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-28 | 2023-03-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-07 | 2022-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-07 | 2022-02-28 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-09-21 | 2021-10-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-21 | 2021-10-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-21 | 2021-10-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-21 | 2021-10-20 | 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 | 2021-09-21 | 2021-10-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-09-21 | 2021-10-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-21 | 2021-10-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-21 | 2021-10-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-21 | 2021-10-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-21 | 2021-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-21 | 2021-10-20 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-09-21 | 2021-10-20 | 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 | 2021-08-17 | 2021-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-17 | 2021-09-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-08-17 | 2021-09-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-08-17 | 2021-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-17 | 2021-09-16 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-12-03 | 2020-01-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-12-03 | 2020-01-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-03 | 2020-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-03 | 2020-01-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-03 | 2020-01-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-10-15 | 2019-11-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-10-15 | 2019-11-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-10-15 | 2019-11-14 | 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 | 2019-10-15 | 2019-11-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-15 | 2019-11-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-10-15 | 2019-11-14 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-10-15 | 2019-11-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-15 | 2019-11-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-15 | 2019-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-15 | 2019-11-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-15 | 2019-11-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-15 | 2019-11-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-15 | 2019-11-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-15 | 2019-11-14 | N |
