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Deficiency Records for Green Valley Health and Wellness Suites
View the most recent health deficiencies and inspection results for Green Valley Health and Wellness Suites. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Green Valley Health and Wellness Suites. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2026-01-30 | 2026-03-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-30 | 2026-03-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2026-01-30 | 2026-03-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-30 | 2026-03-02 | 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 | 2026-01-30 | 2026-03-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-01-30 | 2026-03-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-30 | 2026-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-30 | 2026-03-02 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-01-30 | 2026-03-02 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2026-01-30 | 2026-03-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-01-30 | 2026-03-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2026-01-30 | 2026-03-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2026-01-30 | 2026-03-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2026-01-30 | 2026-03-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-01-30 | 2026-02-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2026-01-30 | 2026-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-30 | 2026-02-26 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2026-01-30 | 2026-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-30 | 2026-02-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-01-30 | 2026-02-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2026-01-30 | 2026-01-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-01-30 | 2026-01-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-01-30 | 2026-01-29 | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-11-24 | 2025-12-18 | 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 | 2025-05-07 | 2025-06-02 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-05-07 | 2025-06-02 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-05-07 | 2025-06-02 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2025-05-07 | 2025-06-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-07 | 2025-06-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-07 | 2025-06-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-04 | 2025-02-14 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-02-04 | 2025-02-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-20 | 2025-01-17 | Y |
| 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 | 2024-12-20 | 2025-01-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-12-20 | 2025-01-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-12-20 | 2025-01-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-20 | 2025-01-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-12-20 | 2025-01-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Meet other general requirements. | Fire Safety | 2024-12-20 | 2025-01-15 | 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 | 2024-12-20 | 2025-01-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-12-20 | 2025-01-15 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-09-18 | 2024-10-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-18 | 2024-10-01 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-11-16 | 2023-12-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-16 | 2023-12-12 | N |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2023-11-16 | 2023-12-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-11-16 | 2023-12-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-16 | 2023-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-16 | 2023-12-12 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-11-16 | 2023-12-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-11-16 | 2023-12-12 | 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 | 2023-11-16 | 2023-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-16 | 2023-12-05 | N |