Deficiency Records for Cypress Valley Cntr For Nursing and Rehabilitation
Updated as of February 01, 2019
This is not the most recent data for Cypress Valley Cntr For Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Cypress Valley Cntr For Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-21 | 2018-12-13 | 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 | 2018-11-21 | 2018-12-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-21 | 2018-12-13 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2018-11-21 | 2018-12-13 | 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 | 2018-10-12 | 2018-10-30 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-10-12 | 2018-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-12 | 2018-10-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-10-12 | 2018-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-12 | 2018-10-30 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-02-27 | 2018-04-13 | 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 | 2018-02-27 | 2018-04-13 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-02-27 | 2018-04-13 | 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 | 2018-02-27 | 2018-04-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-02-27 | 2018-04-13 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-02-27 | 2018-04-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-27 | 2018-04-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-02-27 | 2018-04-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-27 | 2018-04-13 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-25 | 2018-02-22 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-01-25 | 2018-02-22 | 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 | 2018-01-25 | 2018-02-22 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedul | Health | 2018-01-25 | 2018-02-22 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-01-25 | 2018-02-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-12 | 2017-08-15 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-12 | 2017-08-15 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-07-12 | 2017-08-15 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-07-12 | 2017-08-15 | Y |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-07-12 | 2017-08-15 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-07-12 | 2017-08-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-01 | 2017-07-12 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-14 | 2017-04-28 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-03-14 | 2017-04-28 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2017-03-14 | 2017-04-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-03-14 | 2017-04-28 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-02-08 | 2017-03-08 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-08 | 2017-03-08 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-02-08 | 2017-03-08 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-02-08 | 2017-03-08 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-02-08 | 2017-03-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-08 | 2017-03-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-08 | 2017-03-08 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-02-08 | 2017-03-08 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-02-08 | 2017-03-08 | Y |
