Deficiency Records for Souris Valley Care Center
Updated as of July 01, 2021
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? |
---|---|---|---|---|
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 |
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 |