CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Ayer Valley Rehab and Nursing
View the most recent health deficiencies and inspection results for Ayer Valley Rehab and Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ayer Valley Rehab and Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-13 | 2025-04-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-13 | 2025-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-13 | 2025-04-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-03-13 | 2025-04-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-13 | 2025-04-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-03-13 | 2025-04-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-03-13 | 2025-04-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-03-13 | 2025-04-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-03-13 | 2025-04-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-13 | 2025-04-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-03-13 | 2025-04-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-03-13 | 2025-04-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-03-13 | 2025-04-11 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-03-13 | 2025-03-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-03-13 | 2025-03-25 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-03-13 | 2025-03-25 | 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 | 2025-03-13 | 2025-03-25 | 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 | 2025-03-13 | 2025-03-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-13 | 2025-03-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-03-13 | 2025-03-25 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-03-13 | 2025-03-25 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-03-13 | 2025-03-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-13 | 2025-03-25 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2025-03-13 | 2025-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-13 | 2025-03-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-13 | 2025-03-25 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-03-13 | 2025-03-25 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-03-13 | 2025-03-25 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-03-13 | 2025-03-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-13 | 2025-03-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-13 | 2025-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-02 | 2025-01-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-02 | 2025-01-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-02 | 2025-01-20 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-06-05 | 2024-06-21 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-06-05 | 2024-06-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-05 | 2024-06-17 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-03-05 | 2024-03-25 | 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 | 2024-03-05 | 2024-03-25 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-03-05 | 2024-03-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-05 | 2024-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-05 | 2024-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-05 | 2024-03-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-03-05 | 2024-03-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-05 | 2024-03-25 | N |
| Provide or obtain dental services for each resident. | Health | 2024-03-05 | 2024-03-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-05 | 2024-03-25 | 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 | 2024-03-05 | 2024-03-25 | 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 | 2024-03-05 | 2024-03-25 | 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 | 2024-03-05 | 2024-03-25 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-05 | 2024-03-25 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-03-05 | 2024-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-05 | 2024-03-25 | N |
| 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 | 2024-03-05 | 2024-03-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-05 | 2024-03-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-05 | 2024-03-25 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-05 | 2024-03-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-05 | 2024-03-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-05 | 2024-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-05 | 2024-03-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-05 | 2024-03-22 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-03-05 | 2024-03-22 | N |
| Develop a communication plan. | Fire Safety | 2024-03-05 | 2024-03-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-03-05 | 2024-03-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-05 | 2024-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-05 | 2024-03-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-05 | 2024-03-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-05 | 2024-03-22 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-12-29 | 2024-02-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-29 | 2024-02-23 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-12-29 | 2024-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-29 | 2024-02-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-29 | 2024-02-23 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-29 | 2024-02-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-29 | 2024-02-23 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-12-29 | 2024-02-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-29 | 2024-02-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-29 | 2024-02-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-29 | 2024-02-23 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-12-29 | 2024-02-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-29 | 2024-02-23 | Y |
| 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 | 2023-09-27 | 2023-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-27 | 2023-09-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-27 | 2023-09-01 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-07-05 | 2023-08-04 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-07-05 | 2023-08-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-05 | 2023-08-04 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-16 | 2022-08-26 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-06-16 | 2022-08-26 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-06-16 | 2022-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-08-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-16 | 2022-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-16 | 2022-07-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-16 | 2022-07-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-07-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-16 | 2022-07-21 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-06-16 | 2022-07-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-16 | 2022-07-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-16 | 2022-07-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-16 | 2022-07-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-16 | 2022-07-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-16 | 2022-07-21 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-16 | 2022-07-21 | N |