A list of the most recent deficiencies for Souris Valley Care 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-25 | 2023-06-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-25 | 2023-06-29 | 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 | 2023-05-25 | 2023-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-06-29 | N |
| 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 | 2023-05-25 | 2023-06-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-10 | 2022-03-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-10 | 2022-03-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-10 | 2022-03-17 | N |
| Post nurse staffing information every day. | Health | 2022-02-10 | 2022-03-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-02-10 | 2022-03-17 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-02-10 | 2022-03-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-10 | 2022-03-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-10 | 2022-03-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-10 | 2022-03-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-15 | 2022-03-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-15 | 2022-03-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-15 | 2022-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-15 | 2022-03-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-12 | 2020-04-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-12 | 2020-04-16 | 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 | 2020-03-12 | 2020-04-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-03-12 | 2020-04-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-12 | 2020-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-12 | 2020-04-16 | 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 | 2020-03-12 | 2020-04-16 | 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 | 2020-03-12 | 2020-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-04-16 | 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 | 2020-02-24 | 2020-04-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-24 | 2020-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-24 | 2020-04-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-24 | 2020-04-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-24 | 2020-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-24 | 2020-04-09 | N |
