Inspection Results » Valley View Healthcare Center

Health Inspection on February 22, 2019 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-03-22)

2. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-03-22)

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

   • Implement a program that monitors antibiotic use. (Corrected 2019-03-22)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2019-03-22)
   • Provide and implement an infection prevention and control program. (Corrected 2019-03-22)

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

   • 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 2019-03-22)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-03-22)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-03-22)

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

   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2019-03-22)
   • Respond appropriately to all alleged violations. (Corrected 2019-03-22)
   • 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. (Corrected 2019-03-22)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-03-22)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-03-22)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-03-22)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-03-22)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-03-22)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2019-03-22)
   • 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. (Corrected 2019-03-22)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-03-22)

6. Widespread: No actual harm with potential for minimal harm

   • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Corrected 2019-03-22)