A list of the most recent deficiencies for Spring Valley 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-17 | 2023-12-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-17 | 2023-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-17 | 2023-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-19 | 2023-11-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-17 | 2023-11-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-17 | 2023-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-17 | 2023-11-10 | 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 | 2022-03-15 | 2022-04-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-15 | 2022-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-17 | 2022-04-14 | 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 | 2022-03-17 | 2022-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-17 | 2022-04-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-13 | 2022-01-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-02 | 2021-12-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-02 | 2021-12-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-02 | 2021-12-09 | 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 | 2021-11-02 | 2021-12-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-02 | 2021-12-09 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-08-01 | 2019-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-30 | 2019-09-16 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-07-30 | 2019-09-16 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-08-01 | 2019-09-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-08-01 | 2019-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-01 | 2019-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-01 | 2019-09-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-01 | 2019-09-11 | 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 necessary and PRN use is limited. | Health | 2019-08-01 | 2019-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-01 | 2019-09-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-30 | 2019-08-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-07-30 | 2019-08-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-07-30 | 2019-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-30 | 2019-08-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-30 | 2019-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-30 | 2019-08-02 | N |
