Deficiency Records for Valley Grande Manor
Updated as of April 01, 2019
This is not the most recent data for Valley Grande Manor. For the most recent information, click here.
A list of the most recent deficiencies for Valley Grande Manor. 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-02-28 | 2018-04-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-02-28 | 2018-04-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-02-28 | 2018-04-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-28 | 2018-04-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-28 | 2018-04-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-28 | 2018-04-16 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2018-03-01 | 2018-04-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-01 | 2018-04-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-01 | 2018-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-01 | 2018-04-16 | N |
| 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 | 2018-03-01 | 2018-04-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-03-01 | 2018-04-16 | 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 ne | Health | 2018-03-01 | 2018-04-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-01 | 2018-04-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-01 | 2018-04-16 | 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 | 2018-03-01 | 2018-04-16 | N |
| 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 schedul | Health | 2018-03-01 | 2018-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-01 | 2018-04-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-10 | 2018-02-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-10 | 2018-02-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-01-10 | 2018-02-05 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-08-11 | 2017-08-12 | Y |
| 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 | 2017-07-07 | 2017-08-01 | Y |
| 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 | 2017-07-07 | 2017-08-01 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-02-01 | 2017-02-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-06 | 2017-02-07 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-02-06 | 2017-02-07 | 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 | 2017-02-06 | 2017-02-07 | 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 | 2017-02-06 | 2017-02-07 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-02-06 | 2017-02-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-06 | 2017-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-06 | 2017-02-07 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-06 | 2017-02-07 | N |
| Dispose of garbage and refuse properly. | Health | 2017-02-06 | 2017-02-07 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-02-06 | 2017-02-07 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-06 | 2017-02-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-06 | 2017-02-07 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-06 | 2017-02-07 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-10 | 2017-01-11 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-10 | 2017-01-11 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-01-10 | 2017-01-11 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-10 | 2017-01-11 | Y |
| 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 | 2017-01-10 | 2017-01-11 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2016-09-14 | 2016-10-14 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-14 | 2016-10-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-08-01 | 2016-08-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-08-01 | 2016-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-07 | 2016-07-08 | Y |
| Keep all essential equipment working safely. | Health | 2016-07-07 | 2016-07-08 | Y |
| 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 | 2016-05-06 | 2016-05-24 | Y |
| 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 | 2016-05-06 | 2016-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-06 | 2016-05-24 | Y |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-01-13 | 2016-02-16 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-01-15 | 2016-02-16 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-01-15 | 2016-02-16 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-01-15 | 2016-02-16 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-01-15 | 2016-02-16 | 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 | 2016-01-15 | 2016-02-16 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-01-15 | 2016-02-16 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-01-15 | 2016-02-16 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-01-15 | 2016-02-16 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-01-13 | 2016-02-12 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-01-13 | 2016-01-16 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-01-13 | 2016-01-15 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-01-13 | Not Fixed | N |
