Deficiency Records for Surprise Valley Community Hospital D/p Snf
Updated as of June 01, 2019
This is not the most recent data for Surprise Valley Community Hospital D/p Snf. For the most recent information, click here.
A list of the most recent deficiencies for Surprise Valley Community Hospital D/p Snf. 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 | 2019-02-01 | 2019-05-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-01 | 2019-05-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-12 | 2019-04-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-03-12 | 2019-04-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-04 | 2019-03-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-04 | 2019-03-20 | Y |
| Assess the resident when there is a significant change in condition | Health | 2018-07-26 | 2018-09-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-26 | 2018-09-21 | 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 | 2018-07-26 | 2018-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-26 | 2018-09-21 | 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 | 2018-07-26 | 2018-09-21 | 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 | 2018-07-26 | 2018-09-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-26 | 2018-09-21 | 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 and emergencies. | Health | 2018-07-26 | 2018-09-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-07-26 | 2018-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-26 | 2018-09-21 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-07-26 | 2018-09-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-08-24 | 2018-09-14 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-08-08 | 2018-08-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-29 | 2017-12-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-29 | 2017-12-05 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-29 | 2017-12-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-29 | 2017-12-05 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-06-29 | 2017-12-05 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-06-29 | 2017-12-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-29 | 2017-12-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-29 | 2017-12-05 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-05 | 2017-11-16 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-06-29 | 2017-11-14 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-06-29 | 2017-11-14 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-06-29 | 2017-11-14 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-29 | 2017-11-14 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-29 | 2017-11-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-29 | 2017-11-14 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-06-29 | 2017-11-14 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-06-29 | 2017-11-14 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-29 | 2017-11-14 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-06-29 | 2017-11-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-29 | 2017-11-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-06-29 | 2017-11-14 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-08-31 | 2017-10-05 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-15 | 2017-03-21 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-01-06 | 2017-02-13 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-01-06 | 2017-02-13 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-11-15 | 2017-02-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-11-15 | 2017-02-13 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-15 | 2017-02-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-07-05 | 2016-11-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-05 | 2016-11-07 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-07-05 | 2016-11-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-16 | 2016-10-11 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-09-16 | 2016-10-11 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-04-21 | 2016-08-25 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-21 | 2016-08-25 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-04-21 | 2016-08-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-04-21 | 2016-08-25 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2016-04-21 | 2016-08-25 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-04-21 | 2016-08-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-21 | 2016-08-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-21 | 2016-08-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-21 | 2016-08-25 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-04-21 | 2016-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-21 | 2016-08-25 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-21 | 2016-08-25 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-04-21 | 2016-08-25 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-04-21 | 2016-08-25 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-04-21 | 2016-08-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-21 | 2016-08-25 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-04-21 | 2016-08-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-21 | 2016-08-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-21 | 2016-08-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-04-21 | 2016-08-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-04-21 | 2016-08-25 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-04-21 | 2016-08-25 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-04-21 | 2016-08-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-04-21 | 2016-08-25 | N |
| Approved construction type or materials. | Fire Safety | 2016-05-09 | 2016-06-17 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-05-09 | 2016-06-17 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-05-09 | 2016-06-17 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-05-09 | 2016-06-17 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-05-09 | 2016-06-17 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-09 | 2016-06-17 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-09 | 2016-06-17 | N |
