Deficiency Records for Valley Grande Manor
Updated as of September 01, 2020
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? |
---|---|---|---|---|
Keep residents' personal and medical records private and confidential. | Health | 2020-01-22 | 2020-02-14 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-22 | 2020-02-14 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-15 | 2019-04-30 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-15 | 2019-04-30 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-15 | 2019-04-30 | N |
Respond appropriately to all alleged violations. | Health | 2019-03-15 | 2019-04-30 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-15 | 2019-04-30 | 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 | 2019-03-15 | 2019-04-30 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-15 | 2019-04-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-15 | 2019-04-30 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-15 | 2019-04-30 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-15 | 2019-04-29 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-15 | 2019-03-22 | N |
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 necessary and PRN use is limited. | 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 scheduled meal times. | 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 |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-15 | Not Fixed | N |