Deficiency Records for Valley Vista Nursing and Transitional Care LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Valley Vista Nursing and Transitional Care LLC. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-26 | 2024-01-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-29 | 2024-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-29 | 2024-01-03 | Y |
| 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 | 2023-11-29 | 2024-01-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-08 | 2023-11-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2023-11-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-08 | 2023-11-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-08 | 2023-11-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-08 | 2023-11-29 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-08 | 2023-11-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-09 | 2023-09-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-09 | 2023-09-09 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-06-07 | 2023-06-30 | Y |
| 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 | 2023-06-07 | 2023-06-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-07 | 2023-06-30 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-05-10 | 2023-05-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-10 | 2023-05-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-13 | 2023-04-21 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-03-16 | 2023-04-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-28 | 2023-03-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-28 | 2023-03-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-27 | 2022-10-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-24 | 2022-08-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-24 | 2022-08-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-28 | 2022-06-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-11 | 2022-06-16 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-05-11 | 2022-06-16 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-01-21 | 2022-06-02 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-29 | 2022-06-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-11 | 2022-02-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-21 | 2022-02-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-21 | 2022-02-16 | 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 | 2022-01-21 | 2022-02-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-21 | 2022-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-21 | 2022-02-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-21 | 2022-02-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-21 | 2022-02-16 | 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 | 2022-01-21 | 2022-02-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-21 | 2022-02-16 | 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 | 2022-01-21 | 2022-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-21 | 2022-02-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-01-20 | 2022-02-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-01-20 | 2022-02-04 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-01-20 | 2022-02-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-20 | 2022-02-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-20 | 2022-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-01-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-04 | 2022-01-14 | Y |
| 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 | 2021-12-27 | 2022-01-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-27 | 2022-01-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-07 | 2021-12-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-07 | 2021-12-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-21 | 2021-10-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-15 | 2021-10-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-28 | 2021-10-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-20 | 2021-09-27 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-07-12 | 2021-07-23 | Y |
| 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 | 2021-07-12 | 2021-07-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-07 | 2021-07-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-10 | 2021-06-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-17 | 2021-05-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-15 | 2019-08-15 | 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 | 2019-07-15 | 2019-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-15 | 2019-08-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-15 | 2019-08-15 | N |
| 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 | 2019-07-15 | 2019-08-15 | 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 | 2019-07-15 | 2019-08-15 | 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 | 2019-07-15 | 2019-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-15 | 2019-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-15 | 2019-08-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-07-15 | 2019-08-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Develop a communication plan. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Establish methods for sharing information. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-16 | 2019-08-10 | 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 | 2019-07-16 | 2019-08-10 | 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 | 2019-07-16 | 2019-08-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-16 | 2019-08-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-07-22 | 2018-08-31 | 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 | 2018-07-22 | 2018-08-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-22 | 2018-08-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-22 | 2018-08-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-22 | 2018-08-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-07-22 | 2018-08-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-22 | 2018-08-31 | 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 | 2018-07-22 | 2018-08-31 | 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 | 2018-07-22 | 2018-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-22 | 2018-08-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-22 | 2018-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-22 | 2018-08-31 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-07-22 | 2018-08-31 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Develop a communication plan. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-07-21 | 2018-08-31 | 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 | 2018-07-21 | 2018-08-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-21 | 2018-08-31 | 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 | 2018-07-21 | 2018-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
| Meet other general requirements. | Fire Safety | 2018-07-21 | 2018-08-31 | N |
