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Deficiency Records for Pauls Valley Care Center
A list of the most recent deficiencies for Pauls Valley Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Pauls 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? |
|---|---|---|---|---|
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-04-18 | 2024-06-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-16 | 2024-06-03 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-05-16 | 2024-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-16 | 2024-06-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-16 | 2024-06-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-18 | 2024-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-18 | 2024-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-18 | 2024-05-10 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-04-18 | 2024-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-18 | 2024-05-10 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-03-10 | 2023-07-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-10 | 2023-07-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-03-10 | 2023-07-07 | 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 | 2023-03-10 | 2023-07-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-16 | 2023-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-07-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-16 | 2023-07-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-16 | 2023-07-06 | 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 | 2022-08-16 | 2022-10-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-16 | 2022-10-15 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-16 | 2022-10-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-16 | 2022-10-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-16 | 2022-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-16 | 2022-10-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-16 | 2022-10-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-16 | 2022-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-16 | 2022-10-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-16 | 2022-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-18 | 2022-09-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-08-18 | 2022-09-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-08-16 | 2022-08-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-14 | 2022-07-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-21 | 2022-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-21 | 2022-04-20 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-03-01 | 2022-03-10 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-03-01 | 2022-03-10 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-03-01 | 2022-03-10 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-10-11 | 2021-11-11 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-10-11 | 2021-11-11 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-10-11 | 2021-11-11 | Y |
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