Deficiency Records for Valley West Health Care Center
Updated as of February 01, 2022
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? |
|---|---|---|---|---|
| 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 other general requirements that are deficient. | 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 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-12-08 | 2021-01-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-09 | 2021-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-18 | 2020-12-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-19 | 2020-10-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-04 | 2020-03-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-04 | 2020-03-18 | 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 | 2020-02-04 | 2020-03-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-04 | 2020-03-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-11 | 2019-11-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-11 | 2019-11-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-10-11 | 2019-11-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-11 | 2019-11-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-11 | 2019-11-22 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-05 | 2019-10-14 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-05 | 2019-10-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-05 | 2019-10-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-09-05 | 2019-10-14 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-09-05 | 2019-10-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-05 | 2019-10-14 | 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 |
| 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 |
