A list of the most recent deficiencies for Valley Village Care 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-31 | 2023-09-22 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-31 | 2023-09-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-31 | 2023-09-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-30 | 2023-04-14 | Y |
| Report COVID19 data to residents and families. | Health | 2023-01-04 | 2023-01-26 | Y |
| 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 | 2023-01-11 | 2023-01-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-22 | 2022-06-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-22 | 2022-06-01 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-05-22 | 2022-06-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-22 | 2022-06-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-05 | 2022-05-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-08 | 2022-03-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-25 | 2022-03-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-24 | 2022-03-03 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-02-24 | 2022-03-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-03-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-11 | 2022-02-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-29 | 2021-11-17 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-08-27 | 2021-09-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-27 | 2021-09-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-27 | 2021-09-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-12 | 2021-08-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-06 | 2021-08-13 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-08-06 | 2021-08-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-06 | 2021-07-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-05 | 2021-07-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-26 | 2021-05-26 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-04-26 | 2021-05-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-26 | 2021-05-26 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-04-26 | 2021-05-26 | 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 | 2021-04-26 | 2021-05-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-26 | 2021-05-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-04-26 | 2021-05-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-26 | 2021-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-26 | 2021-05-26 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-04-26 | 2021-05-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-26 | 2021-05-26 | 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 | 2021-04-26 | 2021-05-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-26 | 2021-05-26 | 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 | 2021-04-26 | 2021-05-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-26 | 2021-05-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-26 | 2021-05-26 | 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 | 2021-04-26 | 2021-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-26 | 2021-05-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-26 | 2021-05-26 | N |
| 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 | 2021-04-26 | 2021-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-26 | 2021-05-26 | 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 | 2021-04-23 | 2021-05-23 | 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 | 2021-04-23 | 2021-05-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-23 | 2021-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-23 | 2021-05-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-23 | 2021-05-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-23 | 2021-05-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-23 | 2021-05-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-07 | 2021-05-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-07 | 2021-05-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-12 | 2021-04-26 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-04-12 | 2021-04-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-12 | 2021-04-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-01 | 2021-04-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-24 | 2020-02-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-24 | 2020-02-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-24 | 2020-02-23 | 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 | 2020-01-24 | 2020-02-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-24 | 2020-02-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-24 | 2020-02-23 | 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 | 2020-01-24 | 2020-02-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-24 | 2020-02-23 | 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 | 2020-01-24 | 2020-02-23 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2020-01-24 | 2020-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-02-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-01-22 | 2020-02-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-22 | 2020-02-22 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-01-22 | 2020-02-22 | 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 | 2020-01-22 | 2020-02-22 | 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 | 2020-01-22 | 2020-02-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-22 | 2020-02-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-22 | 2020-02-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-22 | 2020-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-22 | 2020-02-22 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-01-08 | 2019-02-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-08 | 2019-02-05 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-01-08 | 2019-02-05 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-01-08 | 2019-02-05 | 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 | 2019-01-08 | 2019-02-05 | 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 | 2019-01-08 | 2019-02-05 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-01-08 | 2019-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-08 | 2019-02-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-01-08 | 2019-02-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-08 | 2019-02-05 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-01-08 | 2019-02-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-01-08 | 2019-02-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-31 | 2019-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-31 | 2019-01-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-31 | 2019-01-31 | 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 | 2018-12-31 | 2019-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-31 | 2019-01-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-31 | 2019-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-31 | 2019-01-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-12-31 | 2019-01-31 | N |
