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Deficiency Records for Shenandoah Valley Health and Rehab
View the most recent health deficiencies and inspection results for Shenandoah Valley Health and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Shenandoah Valley Health and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2025-01-23 | 2025-01-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-23 | 2025-01-17 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-01-31 | 2024-04-01 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-31 | 2024-04-01 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-31 | 2024-04-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-31 | 2024-04-01 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-01-31 | 2024-04-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-31 | 2024-04-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-31 | 2024-04-01 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-01-31 | 2024-04-01 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-01-31 | 2024-04-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-31 | 2024-04-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-23 | 2023-03-23 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-02-23 | 2023-03-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-23 | 2023-03-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-23 | 2023-03-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-23 | 2023-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-23 | 2023-03-23 | 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 | 2021-05-27 | 2021-08-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-27 | 2021-08-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-27 | 2021-08-05 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-05-27 | 2021-08-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-27 | 2021-07-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-27 | 2021-07-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-27 | 2021-06-25 | 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 (including nights and weekends) and emergencies. | Health | 2021-05-27 | 2021-06-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-27 | 2021-06-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-27 | 2021-06-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-27 | 2021-06-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-27 | 2021-06-25 | 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 | 2021-05-27 | 2021-06-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-27 | 2021-06-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-27 | 2021-06-25 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-05-27 | 2021-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-06-25 | N |
| Meet other general requirements. | Fire Safety | 2019-03-14 | 2019-05-07 | 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 | 2019-03-14 | 2019-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-14 | 2019-04-03 | 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 | 2019-03-14 | 2019-04-03 | 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 | 2019-03-14 | 2019-04-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-14 | 2019-04-03 | 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 | 2019-03-14 | 2019-04-03 | N |