Deficiency Records for Springvale Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Springvale Nursing and Rehabilitation Center. 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 | 2023-06-30 | 2023-09-26 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-06-30 | 2023-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-09-06 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-30 | 2023-08-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-06-30 | 2023-08-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-30 | 2023-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-30 | 2023-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-30 | 2023-08-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-30 | 2023-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-30 | 2023-08-23 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-30 | 2023-08-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-30 | 2023-08-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-30 | 2023-08-23 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-06-30 | 2023-08-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-30 | 2023-08-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-30 | 2023-08-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-30 | 2023-08-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-30 | 2023-08-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-30 | 2023-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-30 | 2023-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-10 | 2022-07-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-10-21 | 2020-12-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-10-21 | 2020-12-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-10-21 | 2020-12-20 | 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 | 2020-10-21 | 2020-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-21 | 2020-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-10-21 | 2020-12-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-09 | 2020-12-08 | 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 | 2020-10-09 | 2020-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-09 | 2020-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-09 | 2020-12-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-08-31 | 2018-10-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-31 | 2018-10-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-08-31 | 2018-10-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-08-31 | 2018-10-30 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-08-31 | 2018-10-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-31 | 2018-10-30 | 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 | 2018-08-31 | 2018-10-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-31 | 2018-10-30 | 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 | 2018-08-31 | 2018-10-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-31 | 2018-10-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-08-31 | 2018-10-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-31 | 2018-10-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-08-31 | 2018-10-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-08-31 | 2018-10-30 | 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 | 2018-08-31 | 2018-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-31 | 2018-10-30 | N |
