A list of the most recent deficiencies for Valley Health 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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-09-11 | 2023-09-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-11 | 2023-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-11 | 2023-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-11 | 2023-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-11 | 2023-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-11 | 2023-09-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-09-11 | 2023-09-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-11 | 2023-09-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-11 | 2023-09-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-27 | 2023-08-13 | 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 | 2023-07-27 | 2023-08-13 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-27 | 2023-08-13 | 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 | 2023-07-27 | 2023-08-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-27 | 2023-08-13 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-11-28 | 2022-11-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-28 | 2022-11-29 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-01 | 2022-02-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-01 | 2022-02-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-02-01 | 2022-02-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-02-01 | 2022-02-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-02-01 | 2022-02-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-01 | 2022-02-28 | 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 | 2022-02-01 | 2022-02-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-01 | 2022-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-01 | 2022-02-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-01 | 2022-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-01 | 2022-02-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-02-01 | 2022-02-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-01 | 2022-02-28 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-01-10 | 2022-02-24 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-01-10 | 2022-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-10 | 2022-02-24 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-01-10 | 2022-02-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-17 | 2020-03-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-17 | 2020-03-26 | 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 | 2020-02-17 | 2020-03-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-17 | 2020-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-17 | 2020-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-17 | 2020-03-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-01-06 | 2020-01-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-06 | 2020-01-31 | 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 | 2020-01-06 | 2020-01-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-06 | 2020-01-31 | 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 | 2020-01-06 | 2020-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-06 | 2020-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-06 | 2020-01-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-06 | 2020-01-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-06 | 2020-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-06 | 2020-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-06 | 2020-01-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-06 | 2020-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-06 | 2020-01-31 | N |
