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Deficiency Records for Aurora Valley Care
View the most recent health deficiencies and inspection results for Aurora Valley Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Aurora Valley Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2025-09-15 | 2025-12-01 | 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 | 2025-09-15 | 2025-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-15 | 2025-10-15 | N |
| Provide or obtain dental services for each resident. | Health | 2025-09-15 | 2025-10-15 | 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 | 2025-09-15 | 2025-10-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-09-15 | 2025-10-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-09-15 | 2025-10-15 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2025-09-15 | 2025-10-15 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2025-09-15 | 2025-10-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-09-15 | 2025-10-15 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-15 | 2025-10-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-09-15 | 2025-10-15 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2025-09-15 | 2025-10-15 | N |
| Provide appropriate foot care. | Health | 2025-09-15 | 2025-10-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-09-15 | 2025-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-15 | 2025-10-15 | 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 | 2025-09-15 | 2025-10-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-09-15 | 2025-10-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-15 | 2025-10-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-09-15 | 2025-10-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-09-15 | 2025-10-15 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-09-15 | 2025-10-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-09-15 | 2025-10-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-09-15 | 2025-10-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-09-15 | 2025-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-15 | 2025-10-15 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-09-15 | 2025-10-15 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-09-15 | 2025-10-15 | 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 | 2025-09-15 | 2025-10-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-15 | 2025-10-15 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-09-15 | 2025-10-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-09-15 | 2025-10-06 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-09-15 | 2025-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-15 | 2025-10-06 | 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 | 2025-09-15 | 2025-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-09-15 | 2025-09-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-09-15 | 2025-09-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-09-15 | 2025-09-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-10 | 2025-04-02 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-02-21 | 2025-03-19 | Y |
| Provide or obtain dental services for each resident. | Health | 2025-02-21 | 2025-03-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-21 | 2025-03-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-16 | 2025-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-30 | 2025-01-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-16 | 2025-01-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-30 | 2024-11-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-30 | 2024-11-22 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-09-12 | 2024-10-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-12 | 2024-10-09 | Y |
| 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 | 2024-09-12 | 2024-10-09 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-27 | 2024-08-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-27 | 2024-07-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-27 | 2024-07-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-27 | 2024-07-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-06-27 | 2024-07-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-06-27 | 2024-07-24 | 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 | 2024-06-27 | 2024-07-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-27 | 2024-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-27 | 2024-07-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-27 | 2024-07-24 | N |
| Provide activities to meet all resident's needs. | Health | 2024-06-27 | 2024-07-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-27 | 2024-07-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-06-27 | 2024-07-24 | 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 | 2024-06-27 | 2024-07-24 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-06-27 | 2024-07-24 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-06-27 | 2024-07-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-27 | 2024-07-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-06-27 | 2024-07-24 | 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 | 2024-06-27 | 2024-07-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-27 | 2024-07-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-06-27 | 2024-07-24 | N |
| Provide or obtain dental services for each resident. | Health | 2024-06-27 | 2024-07-24 | 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 | 2024-06-27 | 2024-07-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-27 | 2024-07-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-27 | 2024-07-24 | N |
| Meet other general requirements. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-27 | 2024-07-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-06-12 | 2024-07-05 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-06-12 | 2024-07-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-12 | 2024-07-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-12 | 2024-07-05 | Y |
| 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 | 2024-05-09 | 2024-05-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-09 | 2024-05-24 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-10 | 2024-04-10 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-10 | 2024-04-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-07 | 2024-03-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-16 | 2024-03-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-11 | 2024-01-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-12 | 2023-11-08 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-05 | 2023-10-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-06 | 2023-08-02 | Y |
| 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 | 2023-07-06 | 2023-08-02 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-06 | 2023-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-13 | 2023-07-03 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-20 | 2023-03-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-20 | 2023-03-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-20 | 2023-03-17 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-01-20 | 2023-03-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-20 | 2023-03-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-20 | 2023-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-20 | 2023-03-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-01-20 | 2023-03-01 | 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 | 2023-01-20 | 2023-03-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-01-20 | 2023-03-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-20 | 2023-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-20 | 2023-03-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-01-20 | 2023-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-20 | 2023-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-20 | 2023-03-01 | 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 | 2023-01-20 | 2023-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-20 | 2023-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-20 | 2023-03-01 | N |
| Respond appropriately to all alleged violations. | Health | 2023-01-20 | 2023-03-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-20 | 2023-03-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-20 | 2023-03-01 | 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 | 2023-01-20 | 2023-03-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-20 | 2023-02-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-20 | 2023-02-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-20 | 2023-02-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-01-20 | 2023-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-20 | 2023-02-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-20 | 2023-02-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-20 | 2023-02-16 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-01-20 | 2023-02-16 | N |