Deficiency Records for Cypress Valley Cntr For Nursing and Rehabilitation
Updated as of June 01, 2021
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? |
---|---|---|---|---|
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 | Y |
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 |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-12 | 2018-10-30 | 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 |
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 | N |
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 |
Honor the resident's right to organize and participate in resident/family groups in the facility. | 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 scheduled meal times. | Health | 2018-01-25 | 2018-02-22 | N |