A list of the most recent deficiencies for Shepherd of The Valley Liberty. 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? |
|---|---|---|---|---|
| Have proper power supply for life support equipment. | Fire Safety | 2023-11-15 | 2024-06-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-05 | 2023-10-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-05 | 2023-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-05 | 2023-10-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-05 | 2023-10-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-02 | 2023-10-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-02 | 2023-10-24 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-05 | 2023-10-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-05 | 2023-10-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-09 | 2021-12-16 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-29 | 2021-08-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-07-29 | 2021-08-13 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-07-29 | 2021-08-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-27 | 2021-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-27 | 2021-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-27 | 2021-08-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-22 | 2021-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-22 | 2021-05-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-21 | 2019-04-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-21 | 2019-04-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-21 | 2019-04-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-21 | 2019-04-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-03-21 | 2019-04-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-21 | 2019-04-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-21 | 2019-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-20 | 2019-04-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-20 | 2019-04-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-20 | 2019-04-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-20 | 2019-04-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-03-20 | 2019-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-20 | 2019-04-24 | N |
