Deficiency Records for Champlain Valley Physicians Hosp Med Ctr S N F
Updated as of April 01, 2024
A list of the most recent deficiencies for Champlain Valley Physicians Hosp Med Ctr S N F. 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 approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-14 | 2022-12-20 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-10-14 | 2022-12-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-10-14 | 2022-12-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-14 | 2022-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-14 | 2022-11-30 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-10-14 | 2022-11-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-14 | 2022-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-14 | 2022-11-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-10-14 | 2022-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-14 | 2022-11-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-14 | 2022-11-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-14 | 2022-11-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-12-19 | 2020-02-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-19 | 2020-01-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-19 | 2020-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-19 | 2020-01-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-19 | 2020-01-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-12-19 | 2020-01-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-09-27 | 2018-11-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-27 | 2018-11-26 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-09-27 | 2018-11-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-27 | 2018-11-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-27 | 2018-11-26 | 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 | 2018-09-27 | 2018-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-11-26 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-09-27 | 2018-11-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-09-27 | 2018-11-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-09-27 | 2018-11-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-27 | 2018-11-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-27 | 2018-11-26 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-09-27 | 2018-11-26 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2018-09-27 | 2018-11-26 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2018-09-27 | 2018-11-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-27 | 2018-11-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-27 | 2018-11-26 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-09-27 | 2018-11-26 | N |
