A list of the most recent deficiencies for Belleview Valley Nursing Home. 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? |
|---|---|---|---|---|
| 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 | 2023-11-09 | 2023-12-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-20 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-10-19 | 2022-11-30 | 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 | 2022-10-19 | 2022-11-30 | 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 | 2022-10-19 | 2022-11-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-19 | 2022-11-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-19 | 2022-11-30 | 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 | 2022-10-19 | 2022-11-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-10-19 | 2022-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-19 | 2022-11-30 | 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 | 2022-10-19 | 2022-11-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-19 | 2022-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-19 | 2022-11-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-19 | 2022-11-30 | 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 | 2022-10-19 | 2022-11-30 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-10-19 | 2022-11-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-19 | 2022-11-30 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2022-10-19 | 2022-11-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-10-19 | 2022-11-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-19 | 2022-11-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-19 | 2022-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-19 | 2022-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-19 | 2022-11-30 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-03-31 | 2022-04-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-28 | 2021-05-21 | Y |
| 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 | 2021-04-28 | 2021-05-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-11 | 2021-04-09 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-03-11 | 2021-04-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-11 | 2021-04-09 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-03-11 | 2021-04-09 | 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 | 2021-03-11 | 2021-03-11 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-13 | 2020-04-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-03-13 | 2020-04-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-13 | 2020-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-13 | 2020-03-25 | 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 | 2020-03-13 | 2020-03-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-03-13 | 2020-03-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-13 | 2020-03-14 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-03-13 | 2020-03-14 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-05-16 | 2019-06-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-16 | 2019-06-06 | 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 | 2019-05-16 | 2019-06-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-05-16 | 2019-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-16 | 2019-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-16 | 2019-05-29 | 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 | 2019-05-16 | 2019-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-16 | 2019-05-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-16 | 2019-05-17 | 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 | 2022-10-19 | Not Fixed | N |
