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Deficiency Records for Shenandoah Valley Westminster Canterbury
View the most recent health deficiencies and inspection results for Shenandoah Valley Westminster Canterbury. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Shenandoah Valley Westminster Canterbury. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-23 | 2023-07-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-03-23 | 2023-05-05 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-03-23 | 2023-05-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-23 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-05-05 | 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 | 2023-03-23 | 2023-05-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-23 | 2023-05-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-23 | 2023-05-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-23 | 2023-05-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-23 | 2023-05-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-23 | 2023-05-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-23 | 2023-05-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-23 | 2023-05-05 | 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 | 2023-03-23 | 2023-05-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-03-23 | 2023-05-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-23 | 2021-11-04 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-09-23 | 2021-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-23 | 2021-10-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-23 | 2021-10-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-23 | 2021-10-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-23 | 2021-10-22 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-09-23 | 2021-10-22 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-09-23 | 2021-10-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-21 | 2020-09-17 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-21 | 2020-09-17 | 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 | 2020-02-21 | 2020-09-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-02-21 | 2020-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-21 | 2020-09-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-21 | 2020-09-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-21 | 2020-09-17 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2020-02-21 | 2020-04-04 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-02-21 | 2020-04-04 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-02-21 | 2020-04-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-21 | 2020-04-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-21 | 2020-04-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-21 | 2020-04-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-21 | 2020-04-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-21 | 2020-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-21 | 2020-04-04 | N |