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Deficiency Records for Chapman Valley Manor
View the most recent health deficiencies and inspection results for Chapman Valley Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Chapman Valley Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2024-09-18 | 2024-11-04 | N |
| Use approved construction type or materials. | Fire Safety | 2024-09-18 | 2024-11-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-18 | 2024-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-18 | 2024-11-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-18 | 2024-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-18 | 2024-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-18 | 2024-11-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-18 | 2024-11-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-18 | 2024-11-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-18 | 2024-11-04 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-09-18 | 2024-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-18 | 2024-09-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-09-18 | 2024-09-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-18 | 2024-09-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-18 | 2024-09-24 | 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 | 2024-09-18 | 2024-09-24 | 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 | 2024-09-18 | 2024-09-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-09-18 | 2024-09-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-09-18 | 2024-09-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-17 | 2024-01-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-17 | 2024-01-10 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Develop a communication plan. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-07 | 2023-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-07 | 2023-03-27 | 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 | 2023-03-07 | 2023-03-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-07 | 2023-03-27 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-03-07 | 2023-03-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-07 | 2023-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-07 | 2023-03-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-02 | 2021-11-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-02 | 2021-11-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-02 | 2021-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-02 | 2021-11-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-02 | 2021-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-02 | 2021-11-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-02 | 2021-11-17 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-02 | 2021-09-14 | 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 | 2021-09-02 | 2021-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-02 | 2021-09-14 | 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 | 2021-09-02 | 2021-09-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-02 | 2021-09-14 | N |