A list of the most recent deficiencies for Nehalem 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? |
|---|---|---|---|---|
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-02-10 | 2023-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-10 | 2023-04-01 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-02-10 | 2023-04-01 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-10 | 2023-04-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-10 | 2023-04-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-02-10 | 2023-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-10 | 2023-04-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-02-10 | 2023-04-01 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-02-10 | 2023-04-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-02-10 | 2023-04-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-10 | 2023-04-01 | Y |
| 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 | 2023-02-10 | 2023-04-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-10 | 2023-04-01 | 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 | 2023-02-10 | 2023-04-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-10 | 2023-04-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-10 | 2023-04-01 | 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 | 2023-02-10 | 2023-04-01 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-02-10 | 2023-04-01 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-02-10 | 2023-04-01 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-10 | 2023-04-01 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-02-16 | 2023-04-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-16 | 2023-04-01 | 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 | 2023-02-16 | 2023-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-16 | 2023-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-16 | 2023-04-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-16 | 2023-04-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-02-16 | 2023-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-16 | 2023-04-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-11 | 2022-11-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-11 | 2022-11-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-11 | 2022-11-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-11 | 2022-11-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-11 | 2022-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-11 | 2022-11-30 | 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 | 2022-10-11 | 2022-11-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-11 | 2022-11-30 | 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 | 2022-10-11 | 2022-11-30 | Y |
| Post nurse staffing information every day. | Health | 2022-10-11 | 2022-11-30 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-10-11 | 2022-11-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-22 | 2022-02-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-22 | 2022-02-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-22 | 2022-02-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-22 | 2022-02-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-22 | 2022-02-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-22 | 2022-02-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-22 | 2022-02-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-22 | 2022-02-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-22 | 2022-02-07 | 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 | 2021-12-22 | 2022-02-07 | Y |
| Post nurse staffing information every day. | Health | 2021-12-22 | 2022-02-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-22 | 2022-02-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-11 | 2021-11-30 | 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 | 2021-10-11 | 2021-11-30 | 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 | 2018-10-12 | 2018-11-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-12 | 2018-11-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-12 | 2018-11-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-12 | 2018-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-12 | 2018-11-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-10-12 | 2018-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-12 | 2018-11-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-10 | 2018-11-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-10 | 2018-11-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-10 | 2018-10-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-10 | 2018-10-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-06-27 | 2017-09-29 | N |
| 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 | 2017-06-30 | 2017-08-15 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-30 | 2017-08-15 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-06-30 | 2017-08-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-30 | 2017-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-30 | 2017-08-15 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-30 | 2017-08-15 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-06-30 | 2017-08-15 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-06-30 | 2017-08-15 | 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 | 2017-06-30 | 2017-08-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-06-30 | 2017-08-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-30 | 2017-08-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-30 | 2017-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-27 | 2017-07-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-27 | 2017-07-13 | 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 | 2017-06-27 | 2017-06-28 | N |
