A list of the most recent deficiencies for Pleasant Valley Manor 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-25 | 2023-10-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-25 | 2023-10-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-22 | 2023-08-06 | 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 | 2023-06-22 | 2023-08-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-22 | 2023-08-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-22 | 2023-08-06 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-06-22 | 2023-08-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-22 | 2023-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-22 | 2023-08-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-06-22 | 2023-08-06 | 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 | 2023-06-22 | 2023-08-06 | 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 | 2023-06-22 | 2023-08-06 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-06-22 | 2023-08-06 | N |
| Meet other general requirements. | Fire Safety | 2023-06-22 | 2023-08-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-22 | 2023-08-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-22 | 2023-08-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-22 | 2023-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-22 | 2023-08-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-22 | 2023-08-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-22 | 2023-08-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-22 | 2023-08-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-22 | 2023-08-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-22 | 2023-08-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-22 | 2023-08-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-05-19 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-11-02 | 2022-12-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-06 | 2022-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-06 | 2022-02-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-01 | 2021-10-05 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-07-01 | 2021-08-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-01 | 2021-08-16 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-07-01 | 2021-08-16 | 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 | 2021-07-01 | 2021-08-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-01 | 2021-08-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-01 | 2021-08-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-01 | 2021-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-01 | 2021-08-16 | N |
| Provide activities to meet all resident's needs. | Health | 2021-07-01 | 2021-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-01 | 2021-08-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-07-01 | 2021-08-16 | N |
| Post nurse staffing information every day. | Health | 2021-07-01 | 2021-08-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-01 | 2021-08-16 | 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 | 2021-07-01 | 2021-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-01 | 2021-08-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-01 | 2021-08-16 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2021-07-01 | 2021-08-16 | N |
| Use approved construction type or materials. | Fire Safety | 2021-07-01 | 2021-08-16 | N |
| Meet other general requirements. | Fire Safety | 2021-07-01 | 2021-08-16 | 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 | 2021-07-01 | 2021-08-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-07-01 | 2021-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-01 | 2021-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-01 | 2021-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-01 | 2021-08-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-01 | 2021-08-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-01 | 2021-08-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-01 | 2021-08-16 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-02-21 | 2019-04-05 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-02-21 | 2019-04-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-02-21 | 2019-04-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-21 | 2019-04-05 | 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 | 2019-02-21 | 2019-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-21 | 2019-04-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-21 | 2019-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-21 | 2019-04-05 | N |
| Use approved construction type or materials. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-21 | 2019-04-05 | N |
