Deficiency Records for Cypress Valley Cntr For Nursing and Rehabilitation
Updated as of March 01, 2024
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-07 | 2023-10-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-07 | 2023-10-05 | Y |
| 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 | 2023-09-07 | 2023-10-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-01 | 2023-08-18 | 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 | 2023-06-01 | 2023-08-18 | 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 | 2023-06-01 | 2023-08-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-01 | 2023-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-01 | 2023-08-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-01 | 2023-08-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-01 | 2023-08-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-01 | 2023-08-18 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-06-01 | 2023-08-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-01 | 2023-08-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-25 | 2023-05-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-25 | 2023-05-29 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-20 | 2023-05-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-20 | 2023-05-25 | 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 | 2023-04-20 | 2023-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-20 | 2023-05-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-20 | 2023-05-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-20 | 2023-05-25 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-04-20 | 2023-05-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-20 | 2023-05-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-04-20 | 2023-05-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-20 | 2023-05-25 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-12-02 | 2021-12-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-12-02 | 2021-12-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-02 | 2021-12-30 | N |
| Post nurse staffing information every day. | Health | 2021-12-02 | 2021-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-02 | 2021-12-30 | 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 | 2019-12-18 | 2020-02-01 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-12-18 | 2020-02-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-18 | 2020-02-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-18 | 2020-02-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-21 | 2019-12-16 | N |
