Deficiency Records for Valley West Health Care Center
Updated as of April 01, 2019
This is not the most recent data for Valley West Health Care Center. For the most recent information, click here.
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? |
---|---|---|---|---|
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-03 | 2019-02-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-03 | 2019-02-22 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-03 | 2019-02-22 | 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 | 2019-01-03 | 2019-02-22 | 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 | 2019-01-03 | 2019-02-22 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-03 | 2019-02-22 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-18 | 2018-11-29 | Y |
Respond appropriately to all alleged violations. | Health | 2018-10-18 | 2018-11-29 | Y |
Ensure each resident receives an accurate assessment. | Health | 2018-10-18 | 2018-11-29 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-18 | 2018-11-29 | Y |
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 |
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 |
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 ne | 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 |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-11 | 2018-07-20 | Y |
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 |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-19 | 2018-05-14 | 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 | 2018-04-19 | 2018-05-14 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-01 | 2018-03-08 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-01 | 2018-03-08 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-01 | 2018-03-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-01 | 2018-03-08 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-01 | 2018-03-08 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-25 | 2017-06-07 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-25 | 2017-06-07 | Y |
Provide or obtain dental services for each resident. | Health | 2017-03-24 | 2017-05-11 | N |
Provide housekeeping and maintenance services. | Health | 2017-03-24 | 2017-05-08 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-24 | 2017-05-08 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-24 | 2017-05-08 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-24 | 2017-05-08 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-03-24 | 2017-05-08 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-24 | 2017-05-08 | N |
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2017-03-24 | 2017-05-08 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-24 | 2017-05-08 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-04-06 | 2017-04-11 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-12 | 2017-01-04 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2016-12-12 | 2017-01-04 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-08-26 | 2016-10-19 | Y |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-08-26 | 2016-10-19 | Y |
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-02-17 | 2016-04-01 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-17 | 2016-03-01 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-02-17 | 2016-03-01 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2016-02-17 | 2016-02-29 | N |
Approved construction type or materials. | Fire Safety | 2016-02-17 | 2016-02-23 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-02-17 | 2016-02-23 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-17 | 2016-02-22 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-17 | 2016-02-22 | N |
Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2016-02-17 | 2016-02-18 | N |