Deficiency Records for The Grand Rehabilitation and Nrsg at River Valley
Updated as of March 01, 2024
A list of the most recent deficiencies for The Grand Rehabilitation and Nrsg at River Valley. 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 exits that are accessible at all times. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-06 | 2023-11-27 | 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 | 2023-10-06 | 2023-11-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-06 | 2023-11-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-03 | 2023-11-09 | 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 | 2023-10-03 | 2023-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-03 | 2023-11-09 | 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 | 2023-06-09 | 2023-06-30 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-28 | 2020-04-27 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2020-02-28 | 2020-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-28 | 2020-04-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-28 | 2020-04-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-28 | 2020-04-27 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2020-02-28 | 2020-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-28 | 2020-04-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-28 | 2020-04-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-02-28 | 2020-04-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-04-09 | 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 | 2020-02-13 | 2020-04-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-13 | 2020-04-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-13 | 2020-04-09 | 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 | 2020-02-13 | 2020-04-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-13 | 2020-04-09 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-02-13 | 2020-04-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-05-10 | 2018-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-10 | 2018-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-10 | 2018-07-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-10 | 2018-07-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-10 | 2018-07-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-05-14 | 2018-07-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-14 | 2018-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-14 | 2018-07-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-05-14 | 2018-07-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-14 | 2018-07-12 | 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 | 2018-05-14 | 2018-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-14 | 2018-07-12 | N |
