Deficiency Records for Valley Manor Rehabilitation and Healthcare Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Valley Manor Rehabilitation and Healthcare 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 organize and participate in resident/family groups in the facility. | Health | 2023-03-17 | 2023-05-03 | 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 | 2023-03-17 | 2023-05-03 | N |
| 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 | 2023-03-17 | 2023-05-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-17 | 2023-04-11 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-03-17 | 2023-04-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-17 | 2023-04-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-17 | 2023-04-11 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-17 | 2023-04-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-17 | 2023-04-11 | 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 | 2023-03-17 | 2023-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-17 | 2023-04-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-17 | 2023-04-11 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-03-17 | 2023-04-11 | 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 | 2023-03-17 | 2023-04-11 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-03-17 | 2023-04-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-17 | 2023-04-11 | N |
| 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 | 2023-03-17 | 2023-04-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-17 | 2023-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-17 | 2023-04-11 | N |
| Keep all essential equipment working safely. | Health | 2023-03-17 | 2023-04-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-27 | 2023-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-23 | 2023-02-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-17 | 2022-12-21 | Y |
| Provide large enough exits. | Fire Safety | 2022-05-03 | 2022-06-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-03 | 2022-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-03 | 2022-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-03 | 2022-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-03 | 2022-06-14 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-05-03 | 2022-06-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-03 | 2022-06-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-03 | 2022-06-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-05-03 | 2022-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-03 | 2022-06-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-03 | 2022-06-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-26 | 2022-05-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-04-26 | 2022-05-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-26 | 2022-05-11 | 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 | 2022-04-26 | 2022-05-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-26 | 2022-05-11 | N |
| 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 | 2022-04-26 | 2022-05-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-26 | 2022-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-26 | 2022-05-11 | N |
| Dispose of garbage and refuse properly. | Health | 2022-04-26 | 2022-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-26 | 2022-05-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-31 | 2022-02-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-03 | 2021-08-17 | 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 | 2021-05-25 | 2021-06-28 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-02-10 | 2021-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-10 | 2021-03-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-02-10 | 2021-03-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-22 | Not Fixed | Y |
