A list of the most recent deficiencies for Valencia Gardens Health Care Center. 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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-05 | Y |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-07-20 | 2023-08-08 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-07-24 | 2023-08-03 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-07-24 | 2023-08-03 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-24 | 2023-08-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-24 | 2023-08-03 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-24 | 2023-08-03 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-30 | 2023-06-09 | 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 | 2022-06-10 | 2022-06-26 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-06-26 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-09-08 | 2021-10-18 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-24 | 2019-07-26 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-24 | 2019-07-26 | 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 | 2019-05-24 | 2019-07-26 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-24 | 2019-07-26 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-05-24 | 2019-07-26 | 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 | 2019-05-24 | 2019-07-26 | N |
Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-07-26 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-05-24 | 2019-07-26 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Provide emergency officials' contact information. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Provide primary/alternate means for communication. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-27 | 2019-07-22 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-18 | 2018-08-08 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-18 | 2018-08-08 | N |
Develop a communication plan. | Fire Safety | 2018-07-18 | 2018-08-08 | N |
Establish emergency prep training and testing. | Fire Safety | 2018-07-18 | 2018-08-08 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-07-18 | 2018-08-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-18 | 2018-08-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-18 | 2018-08-08 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-18 | 2018-08-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-18 | 2018-08-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-18 | 2018-08-08 | 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 | 2018-05-11 | 2018-06-11 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-11 | 2018-06-11 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-05-11 | 2018-06-11 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-05-11 | 2018-06-11 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-11 | 2018-06-11 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-11 | 2018-06-11 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-11 | 2018-06-11 | N |
Provide and implement an infection prevention and control program. | Health | 2018-05-11 | 2018-06-11 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-05-11 | 2018-06-11 | N |