A list of the most recent deficiencies for Valley View 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-13 | 2024-01-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-12-13 | 2024-01-13 | 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 | 2023-12-07 | 2023-12-30 | 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 | 2023-12-07 | 2023-12-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-07 | 2023-12-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2023-12-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-07 | 2023-12-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-12-07 | 2023-12-30 | N |
| Provide appropriate foot care. | Health | 2023-12-07 | 2023-12-30 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-12-07 | 2023-12-30 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-12-07 | 2023-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2023-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2023-12-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-12-07 | 2023-12-30 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-12-13 | 2023-12-27 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-07-31 | 2023-09-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-24 | 2023-03-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-13 | 2023-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-27 | 2022-10-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-14 | 2022-03-10 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-02-14 | 2022-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-14 | 2022-03-10 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-02-14 | 2022-03-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-10 | 2022-01-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-10 | 2022-01-31 | Y |
| 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 | 2022-01-10 | 2022-01-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-16 | 2022-01-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-16 | 2022-01-26 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-16 | 2022-01-26 | 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 | 2021-12-16 | 2022-01-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2022-01-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-16 | 2022-01-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-16 | 2022-01-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-16 | 2022-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-12-16 | 2022-01-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Establish methods for sharing information. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-20 | 2022-01-10 | 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 | 2021-12-20 | 2022-01-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-20 | 2022-01-10 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-12-20 | 2022-01-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-18 | 2021-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-08 | 2021-11-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-30 | 2021-09-22 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2021-06-15 | 2021-06-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-15 | 2021-06-30 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2021-06-15 | 2021-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-15 | 2021-06-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-03-22 | 2021-04-12 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-03-22 | 2021-04-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-22 | 2021-04-12 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-10 | 2019-08-05 | 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 | 2019-07-10 | 2019-08-05 | 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 | 2019-07-10 | 2019-08-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-10 | 2019-08-05 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-06-12 | 2019-07-11 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-06-12 | 2019-07-11 | 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 | 2019-06-12 | 2019-07-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-12 | 2019-07-11 | 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 | 2019-06-12 | 2019-07-11 | 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 | 2019-06-12 | 2019-07-11 | 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 | 2019-06-12 | 2019-07-11 | N |
| Provide or obtain dental services for each resident. | Health | 2019-06-12 | 2019-07-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-12 | 2019-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-12 | 2019-07-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-12 | 2019-07-11 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2019-06-12 | 2019-07-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-06-12 | Not Fixed | N |
