Deficiency Records for Green Valley Rehabilitation Health Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Green Valley Rehabilitation Health 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-28 | 2024-01-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-28 | 2024-01-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-28 | 2024-01-10 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-28 | 2024-01-10 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-11-28 | 2024-01-10 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-28 | 2024-01-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-22 | 2023-07-03 | 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 | 2023-05-22 | 2023-07-03 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-05-22 | 2023-07-03 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-22 | 2023-07-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-22 | 2023-07-03 | 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 | 2023-05-22 | 2023-07-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-22 | 2023-07-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-22 | 2023-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-22 | 2023-07-03 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-22 | 2023-07-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-22 | 2023-07-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-22 | 2023-07-03 | 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 | 2023-05-22 | 2023-07-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-05-22 | 2023-07-03 | N |
| Post nurse staffing information every day. | Health | 2023-05-22 | 2023-07-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-22 | 2023-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-22 | 2023-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-22 | 2023-07-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-22 | 2023-07-03 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-05-22 | 2023-07-03 | 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 | 2023-05-22 | 2023-07-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-22 | 2023-07-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-22 | 2023-07-03 | 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 | 2023-05-22 | 2023-07-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-22 | 2023-07-03 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-15 | 2023-05-23 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-05-15 | 2023-05-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-04-19 | 2022-06-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-19 | 2022-06-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-19 | 2022-06-17 | 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 | 2022-04-28 | 2022-06-07 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-28 | 2022-06-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-12 | 2019-02-06 | 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 | 2018-10-12 | 2019-02-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-12 | 2019-02-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-12 | 2019-02-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-10-12 | 2019-02-06 | N |
| 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 | 2018-10-12 | 2019-02-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-12 | 2019-02-06 | N |
