Deficiency Records for Valley Falls Terrace

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Updated as of March 01, 2024

A list of the most recent deficiencies for Valley Falls Terrace. 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 appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-09 2023-03-03 Y
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 2022-03-09 2022-05-09 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-03-09 2022-03-31 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 2022-03-09 2022-03-31 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 2022-03-09 2022-03-31 N
Provide and implement an infection prevention and control program. Health 2022-03-09 2022-03-31 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-03-09 2022-03-14 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-03-22 2019-04-12 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-03-22 2019-04-12 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-03-22 2019-04-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-03-22 2019-04-12 N