A list of the most recent deficiencies for Encore at Turf Valley. 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? |
|---|---|---|---|---|
| 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 | 2021-11-24 | 2022-05-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-11-24 | 2022-05-02 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-11-24 | 2022-05-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-24 | 2022-05-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-24 | 2022-05-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-24 | 2022-05-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-24 | 2022-05-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-24 | 2022-05-02 | 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 | 2021-11-24 | 2022-05-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-24 | 2022-05-02 | N |
| Post nurse staffing information every day. | Health | 2021-11-24 | 2022-05-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-11-24 | 2022-05-02 | 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 | 2021-11-24 | 2022-05-02 | 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 | 2021-11-24 | 2022-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-24 | 2022-05-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-24 | 2022-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-24 | 2022-05-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-11-24 | 2022-05-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-24 | 2022-05-02 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-11-24 | 2022-05-02 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-11-24 | 2022-05-02 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-30 | 2022-05-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-30 | 2022-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-11-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-04 | 2018-11-20 | 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 | 2018-10-10 | 2018-10-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-10 | 2018-10-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-09 | 2017-07-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-09 | 2017-07-12 | N |
| Give or get emergency care by a doctor 24 hours a day. | Health | 2017-06-09 | 2017-07-12 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-09 | 2017-07-12 | 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 | 2017-06-01 | 2017-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-01 | 2017-06-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2017-06-01 | 2017-06-22 | N |
