Inspection Results » Spring Valley Post Acute LLC

Health Inspection on March 23, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-05-02)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2018-05-02)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-05-02)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-05-02)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-05-02)
   • Provide and implement an infection prevention and control program. (Corrected 2018-05-02)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-05-02)
   • Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. (Corrected 2018-05-02)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-05-02)
   • 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 ne (Corrected 2018-05-02)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-05-02)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-05-02)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-05-02)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-05-02)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-02)