Deficiency Records for Spring Valley Health and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Spring Valley Health and Rehab 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? |
---|---|---|---|---|
Respond appropriately to all alleged violations. | Health | 2023-07-11 | 2023-07-21 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-21 | 2023-07-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-21 | 2023-07-21 | 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 | 2023-06-21 | 2023-07-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-21 | 2023-07-21 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-21 | 2023-07-21 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-21 | 2023-07-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-21 | 2023-07-21 | N |
Provide and implement an infection prevention and control program. | Health | 2023-06-21 | 2023-07-21 | 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 | 2023-06-21 | 2023-07-21 | 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 | 2023-06-21 | 2023-07-21 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-21 | 2023-07-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-21 | 2023-03-31 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-21 | 2022-07-18 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-21 | 2022-07-18 | Y |
Respond appropriately to all alleged violations. | Health | 2022-06-21 | 2022-07-18 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-21 | 2022-07-18 | Y |
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 | 2022-06-21 | 2022-07-18 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-04 | 2022-07-18 | N |
Respond appropriately to all alleged violations. | Health | 2022-05-04 | 2022-07-18 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-05-04 | 2022-07-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-04 | 2022-07-18 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-04 | 2022-07-18 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-04 | 2022-07-18 | N |
Provide and implement an infection prevention and control program. | Health | 2022-05-04 | 2022-07-18 | N |
Ensure staff are vaccinated for COVID-19 | Health | 2022-05-04 | 2022-07-18 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-02 | 2022-07-15 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-05-02 | 2022-07-15 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-02 | 2022-07-15 | 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 | 2022-05-02 | 2022-07-15 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-05-02 | 2022-07-15 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-02 | 2022-07-15 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-02 | 2022-07-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-02 | 2022-07-15 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-02 | 2022-07-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-13 | 2021-11-11 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-10-13 | 2021-11-11 | Y |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-22 | 2021-09-01 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2021-03-22 | 2021-09-01 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-24 | 2021-04-22 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-24 | 2021-04-22 | Y |
Respond appropriately to all alleged violations. | Health | 2021-03-24 | 2021-04-22 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-24 | 2021-04-22 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-24 | 2021-04-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-24 | 2021-04-22 | 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 | 2021-03-24 | 2021-04-22 | N |
Provide and implement an infection prevention and control program. | Health | 2021-03-24 | 2021-04-22 | N |
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-03-24 | 2021-04-22 | Y |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-03-24 | 2021-04-22 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-03-24 | 2021-04-22 | Y |
Address patient/client population and determine types of services needed. | Fire Safety | 2021-03-22 | 2021-04-22 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-03-22 | 2021-04-22 | 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 | 2021-03-22 | 2021-04-22 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-22 | 2021-04-22 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-03-22 | 2021-04-22 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-22 | 2021-04-22 | N |