A list of the most recent deficiencies for Valley Convalescent Hospital. 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? |
|---|---|---|---|---|
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-12-05 | 2024-01-04 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-26 | 2023-11-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-10-12 | 2023-11-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-03 | 2023-10-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-16 | 2023-09-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-09 | 2023-08-25 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2023-08-02 | 2023-08-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-02 | 2023-08-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-07 | 2023-07-24 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-01-25 | 2023-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-17 | 2023-02-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-06 | 2023-01-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-19 | 2023-01-03 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-14 | 2022-12-30 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-14 | 2022-12-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-14 | 2022-12-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-14 | 2022-12-30 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-09-13 | 2022-10-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-13 | 2022-10-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-26 | 2022-09-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-03 | 2022-08-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-13 | 2022-08-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-07 | 2022-08-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-08 | 2022-08-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-04 | 2022-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-04 | 2022-07-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-04 | 2022-07-05 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-03-04 | 2022-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-18 | 2022-05-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-04 | 2022-05-18 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-03-04 | 2022-05-18 | 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 | 2022-03-04 | 2022-05-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-04 | 2022-05-18 | 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 | 2022-03-04 | 2022-05-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-04 | 2022-05-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-04 | 2022-05-18 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-04 | 2022-05-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-03-04 | 2022-05-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-04 | 2022-05-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-04 | 2022-05-18 | 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 | 2022-03-04 | 2022-05-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-04 | 2022-05-18 | 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 | 2022-03-04 | 2022-05-18 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-03-04 | 2022-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-04 | 2022-05-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-03-04 | 2022-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-04 | 2022-05-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-04 | 2022-05-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-09 | 2022-03-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-09 | 2022-03-22 | N |
| Use approved construction type or materials. | Fire Safety | 2022-03-09 | 2022-03-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-09 | 2022-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-09 | 2022-03-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-09 | 2022-03-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-09 | 2022-03-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-03-09 | 2022-03-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-29 | 2021-12-20 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Use approved construction type or materials. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-10 | 2020-03-23 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-14 | 2020-03-19 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-02-14 | 2020-03-19 | 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 | 2020-02-14 | 2020-03-19 | 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 | 2020-02-14 | 2020-03-19 | 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 | 2020-02-14 | 2020-03-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-14 | 2020-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-14 | 2020-03-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-14 | 2020-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-14 | 2020-03-19 | 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 | 2020-02-14 | 2020-03-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-14 | 2020-03-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-14 | 2020-03-19 | 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 | 2020-02-14 | 2020-03-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-14 | 2020-03-19 | 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 | 2020-02-14 | 2020-03-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-14 | 2020-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-14 | 2020-03-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-02-14 | 2020-03-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-14 | 2020-03-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-16 | 2019-05-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-16 | 2019-05-21 | 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 | 2019-04-16 | 2019-05-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-16 | 2019-05-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-16 | 2019-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-16 | 2019-05-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-16 | 2019-05-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-04-16 | 2019-05-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-16 | 2019-05-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-16 | 2019-05-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-16 | 2019-05-21 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-02-28 | 2019-04-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-02-28 | 2019-04-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-28 | 2019-04-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-28 | 2019-04-04 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-02-28 | 2019-04-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-28 | 2019-04-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-28 | 2019-04-04 | 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 | 2019-02-28 | 2019-04-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-28 | 2019-04-04 | 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 | 2019-02-28 | 2019-04-04 | 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 | 2019-02-28 | 2019-04-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-28 | 2019-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-28 | 2019-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-28 | 2019-04-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-02-28 | 2019-04-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-02-28 | 2019-03-28 | N |
