Inspection Results » Valley View Senior Village

Health Inspection on March 21, 2018 ^[1]

1. Pattern: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-04-20)

2. 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 2018-04-20)
   • Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. (Corrected 2018-04-20)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-04-20)
   • Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. (Corrected 2018-06-25)
   • Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. (Corrected 2018-06-25)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-04-20)
   • 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. (Corrected 2018-04-20)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-04-20)
   • Implement a program that monitors antibiotic use. (Corrected 2018-04-20)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-04-20)
   • Provide and implement an infection prevention and control program. (Corrected 2018-04-20)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-06-25)

3. 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 2018-04-20)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-04-20)
   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2018-04-20)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-04-20)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-04-20)
   • Have enough outside ventilation via a window or mechanical ventilation, or both. (Corrected 2018-06-25)
   • 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 2018-04-20)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-04-20)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-04-20)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2018-06-25)

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

   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-04-20)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-04-20)
   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-04-20)
   • 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 2018-04-20)
   • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (Corrected 2018-04-20)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-04-20)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-04-20)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-04-20)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-04-20)