A list of the most recent deficiencies for Eden Valley 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-22 | 2024-02-03 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-01-22 | 2024-02-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-22 | 2024-02-03 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-01-16 | 2024-02-03 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-09-26 | 2023-10-03 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-26 | 2023-10-03 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-26 | 2023-10-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-26 | 2023-10-03 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-09-26 | 2023-10-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-25 | 2023-09-28 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-05 | 2023-09-13 | Y |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-09-05 | 2023-09-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-05 | 2023-09-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-07 | 2022-11-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-07 | 2022-11-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-07 | 2022-11-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-07 | 2022-11-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-07 | 2022-11-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-07 | 2022-11-15 | 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 | 2022-10-07 | 2022-11-15 | 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 | 2022-10-07 | 2022-11-15 | 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 | 2022-10-07 | 2022-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-07 | 2022-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-07 | 2022-11-15 | 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 | 2022-10-07 | 2022-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-07 | 2022-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-07 | 2022-11-15 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-11 | 2022-10-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-11 | 2022-10-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-11 | 2022-10-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-09-19 | 2019-10-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-19 | 2019-10-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-19 | 2019-10-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-19 | 2019-10-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-09-19 | 2019-10-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-19 | 2019-10-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-19 | 2019-10-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-19 | 2019-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-19 | 2019-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-19 | 2019-10-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-31 | 2019-08-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-07-31 | 2019-08-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-11 | 2018-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-11 | 2018-10-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-07-12 | 2018-07-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-12 | 2018-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-12 | 2018-07-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-07-12 | 2018-07-23 | N |
