A list of the most recent deficiencies for North Valley Hospital. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-15 | 2023-10-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-15 | 2023-10-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-15 | 2023-10-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-15 | 2023-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-15 | 2023-10-20 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-09-15 | 2023-10-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Meet other general requirements. | Fire Safety | 2023-09-12 | 2023-10-17 | 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 | 2023-09-12 | 2023-10-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-09-12 | 2023-10-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-08 | 2023-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-24 | 2021-10-05 | Y |
| Meet other general requirements. | Fire Safety | 2021-07-06 | 2021-08-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-07-06 | 2021-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-06 | 2021-08-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-06 | 2021-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-01 | 2021-08-05 | N |
| Report COVID19 data to residents and families. | Health | 2021-07-01 | 2021-08-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-01 | 2021-08-05 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-06 | 2021-07-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-17 | 2019-08-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-17 | 2019-08-21 | 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 | 2019-07-17 | 2019-08-21 | 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 | 2019-07-17 | 2019-08-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-17 | 2019-08-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-17 | 2019-08-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-17 | 2019-08-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-17 | 2019-08-21 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-07-17 | 2019-08-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-17 | 2019-08-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-09 | 2019-07-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-09 | 2019-07-22 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-07-09 | 2019-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-09 | 2019-07-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-07-09 | 2019-07-16 | N |
