A list of the most recent deficiencies for Napa Valley 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-10 | 2024-01-24 | 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 | 2023-12-19 | 2024-01-09 | 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 | 2023-10-18 | 2023-11-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-18 | 2023-11-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-21 | 2023-11-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-21 | 2023-11-05 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-13 | 2023-10-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-13 | 2023-10-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-13 | 2023-10-06 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-13 | 2023-10-06 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-09-13 | 2023-10-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-25 | 2023-05-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-17 | 2023-05-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-18 | 2023-05-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-13 | 2022-11-30 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-10-13 | 2022-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-13 | 2022-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-20 | 2022-07-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-21 | 2022-02-16 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-09-21 | 2022-02-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-21 | 2022-02-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-21 | 2022-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-21 | 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 | 2021-09-21 | 2022-02-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-09-21 | 2022-02-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-09-21 | 2022-02-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-21 | 2022-02-16 | 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 | 2021-09-21 | 2022-02-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-09-21 | 2022-02-16 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-09-21 | 2022-02-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-09-21 | 2022-02-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-09-21 | 2022-02-16 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-09-21 | 2022-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-21 | 2022-02-16 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-09-21 | 2022-02-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-09-21 | 2022-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-21 | 2022-02-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| Use approved construction type or materials. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-21 | 2021-11-02 | 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 | 2021-09-21 | 2021-11-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-21 | 2021-11-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-03-09 | 2021-04-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-09 | 2021-04-13 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-09-17 | 2019-10-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-17 | 2019-10-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-17 | 2019-10-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-17 | 2019-10-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-17 | 2019-10-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-17 | 2019-10-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-07 | 2019-09-18 | 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 | 2019-08-07 | 2019-09-18 | 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 | 2019-08-07 | 2019-09-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-27 | 2018-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-27 | 2018-09-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-27 | 2018-09-11 | 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 | 2018-06-27 | 2018-09-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-27 | 2018-09-11 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-06-27 | 2018-09-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-06-27 | 2018-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-27 | 2018-09-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-31 | 2018-08-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-31 | 2018-08-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-31 | 2018-08-27 | 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 | 2018-07-31 | 2018-08-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-07-31 | 2018-08-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-31 | 2018-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-31 | 2018-08-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-07-31 | 2018-08-27 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-07-31 | 2018-08-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-31 | 2018-08-27 | N |
