Deficiency Records for Madison Valley Manor
Updated as of June 01, 2022
This is not the most recent data for Madison Valley Manor. For the most recent information, click here.
A list of the most recent deficiencies for Madison Valley Manor. 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 properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-07-27 | 2021-08-26 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-07-27 | 2021-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-27 | 2021-08-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-27 | 2021-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-27 | 2021-08-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-07-27 | 2021-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-27 | 2021-08-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-27 | 2021-08-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-05 | 2021-08-17 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-21 | 2020-01-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-10-21 | 2020-01-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-21 | 2020-01-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-21 | 2020-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-21 | 2020-01-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-21 | 2020-01-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-10-21 | 2019-11-22 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-10-21 | 2019-11-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-10-21 | 2019-11-22 | N |
| Develop a communication plan. | Fire Safety | 2019-10-21 | 2019-11-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-10-21 | 2019-11-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-21 | 2019-11-22 | 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 | 2019-10-21 | 2019-11-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-21 | 2019-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-21 | 2019-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-21 | 2019-11-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-21 | 2019-11-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-08-09 | 2018-09-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-08-09 | 2018-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-09 | 2018-09-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-09 | 2018-09-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-09 | 2018-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-09 | 2018-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-09 | 2018-09-23 | N |
