Deficiency Records for Green Valley Health and Wellness Suites
Updated as of April 01, 2024
A list of the most recent deficiencies for Green Valley Health and Wellness Suites. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2023-11-16 | 2023-12-12 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-11-16 | 2023-12-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | 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 |
| Have properly installed electrical wiring and gas equipment. | 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 a properly installed medical gas master alarm panel. | 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 |
| 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 |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-08 | 2022-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-08 | 2022-12-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-08 | 2022-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-08 | 2022-12-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-08 | 2022-12-21 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-11-08 | 2022-12-21 | N |
| Keep all essential equipment working safely. | Health | 2022-11-08 | 2022-12-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-08 | 2022-12-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-11-04 | 2022-12-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-04 | 2022-12-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-11-04 | 2022-12-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-11-04 | 2022-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-04 | 2022-12-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-04 | 2022-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-04 | 2022-12-08 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2022-11-04 | 2022-12-08 | N |
