A list of the most recent deficiencies for Pelican Valley Health 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-08 | 2023-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-08 | 2023-12-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-08 | 2023-12-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-08 | 2023-12-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-08 | 2023-12-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-11-07 | 2023-12-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-07 | 2023-12-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-07 | 2023-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-07 | 2023-12-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-07 | 2023-12-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-07 | 2023-12-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-07 | 2023-12-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-07 | 2023-12-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-22 | 2023-04-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-02-22 | 2023-04-05 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-22 | 2023-04-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-28 | 2023-04-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-28 | 2023-04-05 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-04-22 | 2021-05-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-22 | 2021-05-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-04-22 | 2021-05-31 | 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 | 2021-04-22 | 2021-05-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-22 | 2021-05-31 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-04-22 | 2021-05-31 | 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 | 2021-04-20 | 2021-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-20 | 2021-05-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-22 | 2021-05-24 | Y |
