Deficiency Records for Valley Center
Updated as of May 01, 2024
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Deficiency Records for Valley Center
A list of the most recent deficiencies for Valley Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Valley Center. 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-10-17 | 2023-11-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-17 | 2023-11-14 | 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 | 2023-10-17 | 2023-11-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-17 | 2023-11-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-17 | 2023-11-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-17 | 2023-11-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-17 | 2023-11-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-17 | 2023-11-14 | 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 | 2023-10-17 | 2023-11-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-17 | 2023-11-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-17 | 2023-11-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-17 | 2023-11-14 | 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 | 2023-10-17 | 2023-11-14 | 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 | 2023-10-17 | 2023-11-14 | 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 | 2023-10-17 | 2023-11-14 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-10-17 | 2023-11-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-17 | 2023-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-17 | 2023-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-11 | 2023-11-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-11 | 2023-11-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-11 | 2023-11-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-11 | 2023-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-11 | 2023-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-27 | 2023-10-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-04 | 2023-07-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-25 | 2023-05-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-25 | 2023-05-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-10 | 2023-05-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-10 | 2023-05-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-10 | 2023-05-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-10 | 2023-05-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-10 | 2023-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-10 | 2023-05-16 | 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 | 2023-04-10 | 2023-05-16 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-10 | 2023-05-16 | 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 | 2023-04-10 | 2023-05-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-10 | 2023-05-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-10 | 2023-05-16 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-04-10 | 2023-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-10 | 2023-05-16 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-04-10 | 2023-05-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-10 | 2023-05-16 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-04-10 | 2023-05-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-04-10 | 2023-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-10 | 2023-05-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-10 | 2023-05-16 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-10 | 2023-05-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-10 | 2023-05-16 | Y |
| 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 | 2023-04-10 | 2023-05-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-10 | 2023-05-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-10 | 2023-05-16 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-04-10 | 2023-05-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-10 | 2023-05-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-10 | 2023-05-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-04-10 | 2023-05-16 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-04-10 | 2023-05-16 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-04-10 | 2023-05-16 | Y |
| Post nurse staffing information every day. | Health | 2023-04-10 | 2023-05-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-10 | 2023-05-16 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-04-10 | 2023-05-16 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-01 | 2022-04-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-01 | 2022-04-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-01 | 2022-04-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-01 | 2022-04-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-01 | 2022-04-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-01 | 2022-04-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-01 | 2022-04-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-01 | 2022-04-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-01 | 2022-04-18 | 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 | 2022-03-03 | 2022-04-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-03 | 2022-04-07 | 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 | 2022-03-03 | 2022-04-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-03 | 2022-04-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-03 | 2022-04-07 | 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 | 2022-03-03 | 2022-04-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-03 | 2022-04-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-03-03 | 2022-04-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-03-03 | 2022-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-03 | 2022-04-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-03 | 2022-04-07 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-03 | 2022-04-07 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-03-03 | 2022-04-07 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-03 | 2022-04-07 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-03-03 | 2022-04-07 | Y |
| 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 | 2022-03-03 | 2022-04-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-03 | 2022-04-07 | 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 | 2022-03-03 | 2022-04-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-03 | 2022-04-07 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-03-03 | 2022-04-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-03 | 2022-04-07 | Y |
| 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 | 2022-03-03 | 2022-04-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-03 | 2022-04-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-03 | 2022-04-07 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-03 | 2022-04-07 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-03-03 | 2022-04-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-03 | 2022-04-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-03 | 2022-04-07 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-03 | 2022-04-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-03 | 2022-04-07 | Y |
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