Deficiency Records for River Valley Health and Rehabilitation Center LLC
Updated as of October 01, 2019
This is not the most recent data for River Valley Health and Rehabilitation Center LLC. For the most recent information, click here.
A list of the most recent deficiencies for River Valley Health and Rehabilitation Center LLC. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2019-08-16 | 2019-09-25 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-12-13 | 2019-01-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-13 | 2019-01-24 | 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 | 2018-12-13 | 2019-01-24 | 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 | 2018-12-13 | 2019-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-13 | 2019-01-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-11 | 2019-01-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-11 | 2019-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-11 | 2018-03-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-01-11 | 2018-03-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-16 | 2018-02-09 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-01-16 | 2018-02-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-01-11 | 2018-02-09 | N |
| 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 | 2018-01-11 | 2018-02-09 | 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 | 2018-01-11 | 2018-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-11 | 2018-02-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-11 | 2018-02-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-01-11 | 2018-02-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-01-11 | 2018-02-09 | 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 | 2018-01-11 | 2018-02-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-11 | 2018-02-09 | 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 ne | Health | 2018-01-11 | 2018-02-09 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-01-11 | 2018-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-11 | 2018-02-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-01-11 | 2018-02-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-01-11 | 2018-02-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-11 | 2018-02-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-11 | 2018-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-01-11 | 2018-02-09 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-15 | 2017-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-15 | 2017-12-27 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-04-21 | 2017-06-01 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-21 | 2017-06-01 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-21 | 2017-06-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-21 | 2017-06-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-21 | 2017-06-01 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-04-21 | 2017-06-01 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-21 | 2017-06-01 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-04-21 | 2017-06-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-21 | 2017-06-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-21 | 2017-06-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-21 | 2017-06-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-04-21 | 2017-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-20 | 2017-05-27 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2017-04-20 | 2017-05-27 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-04-21 | 2017-05-27 | N |
