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Deficiency Records for Our Lady of The Valley
View the most recent health deficiencies and inspection results for Our Lady of The Valley. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Our Lady of The Valley. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-25 | 2024-03-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-25 | 2024-03-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-25 | 2023-10-24 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-08-25 | 2023-10-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-25 | 2023-10-24 | 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 | 2023-08-25 | 2023-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-25 | 2023-10-24 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-15 | 2021-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-15 | 2021-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-15 | 2021-06-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-15 | 2021-06-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-15 | 2021-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-15 | 2021-06-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-15 | 2021-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-15 | 2021-06-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-15 | 2021-06-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-15 | 2021-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-15 | 2021-05-25 | 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 | 2021-04-15 | 2021-05-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-15 | 2021-05-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-15 | 2021-05-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-04-15 | 2021-05-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-04-15 | 2021-05-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-04-15 | 2021-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-15 | 2021-05-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-15 | 2021-05-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-04-15 | 2021-05-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-04-15 | 2021-05-25 | N |
| Use approved construction type or materials. | Fire Safety | 2019-04-08 | 2019-06-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-08 | 2019-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-08 | 2019-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-08 | 2019-06-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-08 | 2019-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-08 | 2019-05-17 | 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 | 2019-04-08 | 2019-05-17 | 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 | 2019-04-08 | 2019-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-08 | 2019-05-17 | N |