A list of the most recent deficiencies for Valley West Health 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-07 | 2023-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-07 | 2023-02-28 | 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 | 2022-12-07 | 2023-02-28 | Y |
| Post nurse staffing information every day. | Health | 2022-12-07 | 2023-02-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-07 | 2023-01-11 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-12-07 | 2023-01-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-07 | 2023-01-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-07 | 2023-01-11 | 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 | 2022-12-07 | 2023-01-11 | 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 | 2022-12-07 | 2023-01-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-07 | 2023-01-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-07 | 2023-01-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-12-07 | 2023-01-11 | 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 | 2022-12-07 | 2023-01-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-07 | 2023-01-11 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-12-07 | 2023-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-07 | 2023-01-11 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-12-07 | 2023-01-11 | N |
| 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 | 2022-12-07 | 2023-01-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-07 | 2023-01-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-07 | 2023-01-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-07 | 2023-01-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-07 | 2023-01-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-07 | 2023-01-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-07 | 2023-01-11 | Y |
| Provide appropriate foot care. | Health | 2022-12-07 | 2023-01-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-07 | 2023-01-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-07 | 2023-01-11 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-11-29 | 2023-01-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-29 | 2023-01-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-29 | 2023-01-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-29 | 2023-01-11 | 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 | 2021-11-17 | 2022-01-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-17 | 2022-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-17 | 2022-01-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-17 | 2022-01-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-17 | 2022-01-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-11-17 | 2022-01-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-17 | 2022-01-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-24 | 2022-01-07 | N |
| 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 | 2021-11-24 | 2022-01-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-24 | 2022-01-07 | 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 | 2021-11-24 | 2022-01-07 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-11-24 | 2022-01-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-24 | 2022-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-24 | 2022-01-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-21 | 2021-08-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-21 | 2021-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-21 | 2021-08-04 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-21 | 2021-08-04 | 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 | 2021-06-21 | 2021-08-04 | Y |
| 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 | 2021-06-21 | 2021-08-04 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-21 | 2021-08-04 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-06-21 | 2021-08-04 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-06-21 | 2021-08-04 | 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 | 2018-06-11 | 2018-07-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-11 | 2018-07-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-06-11 | 2018-07-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-11 | 2018-07-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-11 | 2018-07-20 | 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 | 2018-06-11 | 2018-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-11 | 2018-07-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-11 | 2018-07-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-06-11 | 2018-07-20 | 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 | 2018-06-11 | 2018-07-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-11 | 2018-07-20 | 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 | 2018-06-11 | 2018-07-20 | 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 | 2018-06-11 | 2018-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-11 | 2018-07-20 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-05 | 2018-07-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-06-05 | 2018-07-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-06-05 | 2018-07-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-06-05 | 2018-07-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-06-05 | 2018-07-20 | N |
| Develop a communication plan. | Fire Safety | 2018-06-05 | 2018-07-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-06-05 | 2018-07-20 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-06-05 | 2018-07-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-06-05 | 2018-07-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-06-05 | 2018-07-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-05 | 2018-07-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-05 | 2018-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-05 | 2018-06-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-05 | 2018-06-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-06-05 | 2018-06-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-05 | 2018-06-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-05 | 2018-06-18 | N |
