Deficiency Records for Totally Kids Specialty Healthcare - Sun Valley
Updated as of March 01, 2024
A list of the most recent deficiencies for Totally Kids Specialty Healthcare - Sun Valley. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-26 | 2024-01-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-26 | 2024-01-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-26 | 2024-01-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-12-26 | 2024-01-17 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-12-26 | 2024-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-26 | 2024-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-26 | 2024-01-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-26 | 2024-01-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-26 | 2024-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-26 | 2024-01-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-26 | 2024-01-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-26 | 2024-01-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-18 | 2024-01-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-12-18 | 2024-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-18 | 2024-01-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-18 | 2024-01-12 | 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 | 2023-12-18 | 2024-01-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-18 | 2024-01-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-18 | 2024-01-12 | 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 | 2023-12-18 | 2024-01-12 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-18 | 2024-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-18 | 2024-01-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-18 | 2024-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-05-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-08 | 2022-08-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-01 | 2022-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-05 | 2022-01-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-05 | 2022-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-05 | 2022-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-23 | 2022-01-17 | 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 | 2021-12-23 | 2022-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-23 | 2022-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-23 | 2022-01-17 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-11-09 | 2021-11-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-09 | 2021-11-18 | Y |
| Keep all essential equipment working safely. | Health | 2021-11-09 | 2021-11-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-28 | 2021-11-09 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-09-30 | 2021-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-30 | 2021-10-08 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-09-30 | 2021-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-09 | 2021-09-28 | 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 | 2021-08-10 | 2021-08-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-10 | 2021-08-19 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-07-12 | 2019-08-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-12 | 2019-08-05 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-07-12 | 2019-08-05 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-07-12 | 2019-08-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-12 | 2019-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-12 | 2019-08-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-12 | 2019-08-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-12 | 2019-08-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-02 | 2019-07-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-02 | 2019-07-22 | 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 | 2019-07-02 | 2019-07-22 | 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 | 2019-07-02 | 2019-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-02 | 2019-07-22 | N |
