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Deficiency Records for Valley of The Moon Post Acute
View the most recent health deficiencies and inspection results for Valley of The Moon Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Valley of The Moon Post Acute. Stay informed about quality of care issues.
| 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 | 2026-04-15 | 2026-04-16 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-11 | 2024-11-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-11 | 2024-11-05 | 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 | 2024-10-11 | 2024-11-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-11 | 2024-11-05 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-10-11 | 2024-11-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-11 | 2024-11-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-10-11 | 2024-11-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-11 | 2024-11-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-28 | 2023-09-04 | 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 | 2023-07-28 | 2023-09-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-28 | 2023-09-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-28 | 2023-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-28 | 2023-09-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-28 | 2023-08-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-07-28 | 2023-08-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-07-28 | 2023-08-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-07-28 | 2023-08-31 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-07-28 | 2023-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-28 | 2023-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-28 | 2023-08-31 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-07-28 | 2023-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-28 | 2023-08-31 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-10-16 | 2020-01-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-16 | 2020-01-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-16 | 2019-12-31 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2019-10-16 | 2019-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-16 | 2019-12-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-10-16 | 2019-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-16 | 2019-12-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-16 | 2019-12-31 | N |
| Keep all essential equipment working safely. | Health | 2019-10-16 | 2019-12-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-16 | 2019-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-16 | 2019-12-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-16 | 2019-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-16 | 2019-12-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-16 | 2019-12-13 | 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 | 2019-10-16 | 2019-12-13 | N |
| Have policies on smoking. | Health | 2019-10-16 | 2019-12-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-16 | 2019-12-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-16 | 2019-12-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-16 | 2019-12-13 | 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 | 2019-10-16 | 2019-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-16 | 2019-12-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-16 | 2019-12-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-10-16 | 2019-12-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-16 | 2019-12-13 | N |