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Deficiency Records for Bear Valley Community Hospital
View the most recent health deficiencies and inspection results for Bear Valley Community Hospital. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bear Valley Community Hospital. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-07 | 2025-07-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-08 | 2025-06-08 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2025-05-08 | 2025-06-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-08 | 2025-06-08 | 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 | 2025-05-08 | 2025-06-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-08 | 2025-06-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-08 | 2025-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-08 | 2025-06-08 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-05-08 | 2025-06-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-05-08 | 2025-06-08 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-05-08 | 2025-06-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-05-08 | 2025-06-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-08 | 2025-06-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-08 | 2025-05-29 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-05-08 | 2025-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-08 | 2025-05-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-03-19 | 2024-04-17 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-03-19 | 2024-04-17 | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-19 | 2024-04-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-19 | 2024-04-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-03-19 | 2024-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-19 | 2024-04-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-19 | 2024-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-19 | 2024-04-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-19 | 2024-04-17 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-03-19 | 2024-04-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-19 | 2024-04-17 | N |
| Post nurse staffing information every day. | Health | 2024-03-19 | 2024-04-17 | 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 | 2024-03-19 | 2024-04-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-19 | 2024-04-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-19 | 2024-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-19 | 2024-04-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-19 | 2024-04-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-03-19 | 2024-04-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-19 | 2024-03-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-02 | 2023-06-20 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-16 | 2023-04-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-16 | 2023-03-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-16 | 2023-03-28 | 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 | 2023-02-16 | 2023-03-28 | 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 | 2023-02-16 | 2023-03-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-16 | 2023-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-16 | 2023-03-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-16 | 2023-03-28 | N |