CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Surprise Valley Community Hospital D/p Snf
View the most recent health deficiencies and inspection results for Surprise Valley Community Hospital D/p Snf. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Surprise Valley Community Hospital D/p Snf. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-26 | 2026-02-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-19 | 2026-01-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-08 | 2025-06-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-05-08 | 2025-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-08 | 2025-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-08 | 2025-06-02 | 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 | 2025-05-08 | 2025-05-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-08 | 2025-05-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-05-08 | 2025-05-22 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-05-08 | 2025-05-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-05-08 | 2025-05-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-08 | 2025-05-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-18 | 2024-05-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-18 | 2024-05-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-04-18 | 2024-05-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-18 | 2024-05-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-18 | 2024-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-18 | 2024-05-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-04-18 | 2024-05-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-04-18 | 2024-05-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-18 | 2024-05-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-18 | 2024-05-30 | 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 | 2024-04-18 | 2024-05-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-18 | 2024-05-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-18 | 2024-05-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-18 | 2024-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-18 | 2024-05-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-18 | 2024-05-08 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-18 | 2024-05-06 | 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 | 2024-04-18 | 2024-05-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-28 | 2023-12-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-05 | 2023-12-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-10 | 2023-05-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-12 | 2023-05-18 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-05-12 | 2022-07-13 | 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 | 2022-05-12 | 2022-07-13 | 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 | 2022-05-12 | 2022-07-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-12 | 2022-07-13 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2022-05-12 | 2022-07-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-12 | 2022-07-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-05-12 | 2022-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-07-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-05-12 | 2022-07-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-12 | 2022-07-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-05-12 | 2022-07-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-05-12 | 2022-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-12 | 2022-06-15 | 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 | 2022-05-12 | 2022-06-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-12 | 2022-06-15 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-12 | 2022-06-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-05-12 | 2022-06-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-05-12 | 2022-06-15 | N |