A list of the most recent deficiencies for Cherry Valley Healthcare. 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? |
|---|---|---|---|---|
| Give residents a notice of rights, rules, services and charges. | Health | 2024-02-07 | 2024-02-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-07 | 2024-02-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-06 | 2024-02-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-10 | 2024-01-20 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-10-20 | 2023-10-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-10-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-22 | 2023-07-22 | Y |
| 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 | 2023-01-19 | 2023-02-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-11 | 2023-02-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-12 | 2023-01-22 | Y |
| 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 | 2023-01-12 | 2023-01-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-17 | 2022-09-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-17 | 2022-09-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-16 | 2022-01-24 | 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 | 2021-12-16 | 2022-01-24 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-12-16 | 2022-01-24 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-16 | 2022-01-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-16 | 2022-01-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-16 | 2022-01-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-16 | 2022-01-24 | 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 | 2021-12-16 | 2022-01-24 | 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 | 2021-12-16 | 2022-01-24 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-12-16 | 2022-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-16 | 2022-01-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-16 | 2022-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-22 | 2022-01-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-22 | 2022-01-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-22 | 2022-01-04 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-22 | 2022-01-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-22 | 2022-01-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-22 | 2022-01-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-22 | 2022-01-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-22 | 2022-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2021-12-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-18 | 2021-12-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-14 | 2021-11-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-14 | 2021-11-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-04 | 2021-05-27 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-12-03 | 2019-12-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-12-03 | 2019-12-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-03 | 2019-12-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-03 | 2019-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-03 | 2019-12-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-03 | 2019-12-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-03 | 2019-12-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-12-03 | 2019-12-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-12-03 | 2019-12-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-03 | 2019-12-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-07 | 2019-12-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-07 | 2019-12-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-07 | 2019-12-05 | 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 | 2019-11-07 | 2019-12-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-07 | 2019-12-05 | 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 | 2019-11-07 | 2019-12-05 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-11-07 | 2019-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2019-12-05 | N |
| Dispose of garbage and refuse properly. | Health | 2019-11-07 | 2019-12-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-07 | 2019-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-05 | 2019-02-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-05 | 2019-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-05 | 2019-02-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-29 | 2018-12-28 | 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 | 2018-11-29 | 2018-12-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-29 | 2018-12-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-29 | 2018-12-28 | 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 | 2018-11-29 | 2018-12-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-29 | 2018-12-28 | 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 | 2018-11-29 | 2018-12-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-11-29 | 2018-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-29 | 2018-12-28 | N |
