A list of the most recent deficiencies for Pine Valley Community Village. 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? |
|---|---|---|---|---|
| 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 | 2023-01-26 | 2023-02-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-26 | 2023-02-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-26 | 2023-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-26 | 2023-01-30 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-01-26 | 2023-01-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-26 | 2023-01-27 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-10-07 | 2021-11-07 | 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 | 2021-10-07 | 2021-11-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-07 | 2021-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-05 | 2021-11-04 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-10-05 | 2021-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-08 | 2019-08-11 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-07-08 | 2019-08-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-08 | 2019-08-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-08 | 2019-08-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-08 | 2019-07-16 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-07-08 | 2019-07-09 | N |
