A list of the most recent deficiencies for Pleasant Valley Snf LLC. 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? |
|---|---|---|---|---|
| Observe each nurse aide's job performance and give regular training. | Health | 2023-12-01 | 2024-01-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-28 | 2024-01-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-28 | 2024-01-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-28 | 2024-01-23 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-12-01 | 2023-12-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-01 | 2023-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2023-12-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-12-01 | 2023-12-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | 2023-12-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-01 | 2023-12-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-01 | 2023-12-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-12-01 | 2023-12-21 | N |
| 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 | 2023-12-01 | 2023-12-21 | 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 | 2023-12-01 | 2023-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2023-12-21 | 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 | 2022-12-01 | 2023-02-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-01 | 2023-02-02 | 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 | 2022-12-01 | 2023-02-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-01 | 2023-02-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-01 | 2023-02-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-01 | 2023-02-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-01 | 2023-02-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-01 | 2023-02-02 | N |
| Have proper openings in smoke barrier doors. | Fire Safety | 2022-12-01 | 2023-02-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-01 | 2023-02-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-01 | 2023-02-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-12-01 | 2023-02-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-01 | 2023-02-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-12-02 | 2023-01-20 | 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 | 2022-12-02 | 2023-01-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-02 | 2023-01-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-02 | 2023-01-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-12-02 | 2023-01-18 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-12-02 | 2023-01-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-17 | 2021-10-19 | N |
| 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 | 2021-09-17 | 2021-10-19 | 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 | 2021-09-17 | 2021-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-17 | 2021-10-19 | N |
