Deficiency Records for Arcadia Valley Skilled Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Arcadia Valley Skilled 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-30 | 2023-12-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2023-12-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-14 | 2023-12-11 | Y |
| 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 | 2023-11-14 | 2023-12-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-14 | 2023-12-11 | Y |
| 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 | 2023-11-14 | 2023-12-11 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-14 | 2023-12-11 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-14 | 2023-12-11 | Y |
| 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 | 2023-11-14 | 2023-12-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-23 | 2023-09-12 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-08-23 | 2023-09-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-23 | 2023-09-12 | Y |
| 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 | 2023-08-23 | 2023-09-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-23 | 2023-09-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-23 | 2023-09-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-27 | 2023-05-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | 2023-05-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-27 | 2023-05-12 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-05-12 | 2022-06-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-12 | 2022-06-01 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2022-05-12 | 2022-06-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-12 | 2022-06-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-12 | 2022-06-01 | 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 | 2022-05-12 | 2022-06-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-12 | 2022-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-09 | 2022-06-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-09 | 2022-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-09 | 2022-06-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-03-01 | 2022-03-17 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-01 | 2022-03-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-19 | 2021-11-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-10-19 | 2021-11-01 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-04-26 | 2021-04-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-05 | 2021-04-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-05 | 2021-04-16 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-11-14 | 2019-12-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-14 | 2019-12-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-14 | 2019-12-10 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-14 | 2019-12-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-14 | 2019-12-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-14 | 2019-12-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-14 | 2019-12-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-14 | 2019-12-10 | 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 | 2019-11-14 | 2019-12-10 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-11-14 | 2019-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2019-12-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-14 | 2019-12-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-12 | 2019-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-12 | 2019-12-10 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-11 | 2018-11-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-11 | 2018-11-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-10-11 | 2018-11-20 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-11 | 2018-11-20 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-10-11 | 2018-11-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-11 | 2018-11-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-11 | 2018-11-20 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-10-11 | 2018-11-20 | 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 | 2018-10-11 | 2018-11-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-11 | 2018-11-20 | N |
