Deficiency Records for Sandstone Spring Valley
Updated as of April 01, 2019
This is not the most recent data for Sandstone Spring Valley. For the most recent information, click here.
A list of the most recent deficiencies for Sandstone Spring Valley. 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? |
|---|---|---|---|---|
| Establish policies and procedures for volunteers. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Develop a communication plan. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-19 | 2018-06-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-04-20 | 2018-06-13 | 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 | 2018-04-20 | 2018-06-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-04-20 | 2018-06-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-20 | 2018-06-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-20 | 2018-06-13 | 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 | 2018-04-20 | 2018-06-13 | 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 | 2018-04-20 | 2018-06-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-20 | 2018-06-13 | 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 | 2018-04-20 | 2018-06-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-20 | 2018-06-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-20 | 2018-06-13 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-23 | 2017-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-23 | 2017-07-07 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-03-03 | 2017-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-03 | 2017-04-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-03-03 | 2017-04-14 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-07 | 2017-04-14 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-03-07 | 2017-04-14 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-07 | 2017-04-14 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-03-07 | 2017-04-14 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-03-07 | 2017-04-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-03-07 | 2017-04-14 | N |
| Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2017-03-07 | 2017-04-14 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-07 | 2017-04-14 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-03-07 | 2017-04-14 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-03-07 | 2017-04-14 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-07 | 2017-04-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-10-26 | 2016-12-08 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-03-08 | 2016-03-09 | N |
