Deficiency Records for Souris Valley Care Center
Updated as of July 01, 2020
This is not the most recent data for Souris Valley Care Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-23 | 2019-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-23 | 2019-09-06 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-04-10 | 2019-05-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-04-10 | 2019-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-10 | 2019-05-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-10 | 2019-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-10 | 2019-05-15 | 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 | 2019-04-10 | 2019-05-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-02-13 | 2019-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-02 | 2019-02-06 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-01-02 | 2019-02-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-09 | 2018-06-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-05-09 | 2018-06-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-09 | 2018-06-13 | 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 | 2018-05-09 | 2018-06-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-09 | 2018-06-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-09 | 2018-06-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-05-09 | 2018-06-13 | 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 | 2018-05-09 | 2018-06-13 | 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 | 2018-05-09 | 2018-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-09 | 2018-06-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-03-07 | 2018-04-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-07 | 2018-04-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-03-07 | 2018-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-07 | 2018-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-07 | 2018-04-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-07 | 2018-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-07 | 2018-04-21 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-03-16 | 2017-04-20 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-16 | 2017-04-20 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-03-16 | 2017-04-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-16 | 2017-04-20 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-16 | 2017-04-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-16 | 2017-04-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-16 | 2017-04-20 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-03-16 | 2017-04-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-16 | 2017-04-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-16 | 2017-04-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-16 | 2017-04-20 | N |
