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Deficiency Records for Pine Valley Community Village
View the most recent health deficiencies and inspection results for Pine Valley Community Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pine Valley Community Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-14 | 2026-01-29 | Y |
| Provide training in compliance and ethics. | Health | 2025-07-22 | 2025-08-06 | Y |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2025-07-22 | 2025-08-06 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-07-22 | 2025-08-06 | Y |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2025-07-22 | 2025-08-06 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-07-22 | 2025-08-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-30 | 2025-07-21 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-07-22 | 2025-07-03 | Y |
| Establish methods for sharing information. | Fire Safety | 2025-05-22 | 2025-06-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-05-22 | 2025-06-20 | 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 | 2025-05-22 | 2025-06-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-22 | 2025-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-22 | 2025-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-22 | 2025-06-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-22 | 2025-06-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-05-22 | 2025-06-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-22 | 2025-06-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-05-22 | 2025-06-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-05-22 | 2025-06-13 | 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 | 2025-05-22 | 2025-06-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-22 | 2025-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-22 | 2025-06-13 | N |
| Respond appropriately to all alleged violations. | Health | 2025-03-31 | 2025-04-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-31 | 2025-04-18 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2025-03-31 | 2025-04-18 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-03-31 | 2025-04-18 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-03 | 2024-04-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-03 | 2024-04-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-03 | 2024-04-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-04-03 | 2024-04-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-03 | 2024-04-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-03 | 2024-04-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-25 | 2023-02-23 | 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 | 2023-01-25 | 2023-02-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-25 | 2023-02-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-25 | 2023-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-25 | 2023-01-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-25 | 2023-01-27 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-01-25 | 2023-01-27 | N |