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Surprise Valley Community Hospital D-p Snf

Inspection Results

Inspection Summary
Surprise Valley Community Hospital D-p Snf has been cited for 66 deficiencies in our most recent deficiency data (Tip: Surveys happen throughout the year and you may want to check with the location to see if there is more recent data available). There are 1206 nursing homes in California with a total of 58263 deficiencies resulting in an average of 48.31 deficiencies per nursing home.

Date of Survey Date of Correction Deficiency
2014-12-26 2015-01-23 Have a program that investigates, controls and keeps infection from spreading.
2014-05-08 2014-07-03 Allow residents to self-administer drugs if determined safe.
2014-05-08 2014-07-03 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
2014-05-08 2014-07-03 Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.
2014-05-08 2014-07-03 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
2014-05-08 2014-07-03 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2014-05-08 2014-07-03 Provide care by qualified persons according to each resident's written plan of care.
2014-05-08 2014-07-03 Ensure that residents are safe from serious medication errors.
2014-05-08 2014-07-03 Store, cook, and serve food in a safe and clean way.
2014-05-08 2014-07-03 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
2014-05-08 2014-07-03 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
2014-05-08 2014-07-03 Have a program that investigates, controls and keeps infection from spreading.
2014-05-08 2014-07-03 Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
2014-05-08 2014-07-03 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
2014-05-08 2014-07-03 Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
2014-05-08 2014-07-03 Train all employees on what to do in an emergency, and carry out unannounced staff drills.
2013-10-14 2013-11-21 Have a program that investigates, controls and keeps infection from spreading.
2013-08-26 2013-10-14 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
2013-08-26 2013-10-14 Give or get quality laboratory services/tests in a timely manner to meet the needs of residents.
2013-04-17 2013-05-29 Protect each resident from all abuse, physical punishment, and involuntary separation from others.
2013-04-15 2013-04-30 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
2013-04-19 2013-05-29 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
2013-04-19 2013-05-29 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
2013-04-19 2013-05-29 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
2013-04-19 2013-05-29 Store, cook, and serve food in a safe and clean way.
2013-04-19 2013-05-29 Have enough backup water supply for essential areas of the nursing home.
2013-04-19 2013-05-29 Develop policies and procedures for influenza and pneumococcal immunizations.
2013-02-22 2014-07-15 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
2012-05-16 2012-07-13 Protect each resident from all abuse, physical punishment, and involuntary separation from others.
2012-05-16 2012-07-13 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
2012-05-16 2012-07-13 Ensure each resident receives an accurate assessment by a qualified health professional.
2012-05-16 2012-08-28 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2012-05-16 2012-07-13 Maintain 15 months of resident assessments in the resident's active clinical record.
2012-05-16 2012-07-13 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
2012-05-16 2012-08-28 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
2012-05-16 2012-07-13 Store, cook, and serve food in a safe and clean way.
2012-05-16 2012-07-13 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
2012-05-16 2012-07-13 Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
2012-05-16 2012-07-13 Keep accurate, complete and organized clinical records on each resident that meet professional standards.
2012-05-16 2012-08-28 Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents.
2012-05-16 2012-07-13 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
2014-05-20 2014-06-12 Approved construction type or materials.
2014-05-20 2014-06-12 Corridor and hallway doors that block smoke.
2014-05-20 2014-06-12 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
2014-05-20 2014-06-12 Proper medical gas storage and administration areas.
2013-04-25 2013-05-13 Signs that state that exit doors are to be kept closed.
2013-04-25 2013-05-13 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
2013-04-25 2013-05-13 An approved installation, maintenance and testing program for fire alarm systems.
2013-04-25 2013-05-13 Properly working alarms on sprinkler valves.
2013-04-25 2013-05-13 Automatic sprinkler systems that have been maintained in working order.
2013-04-25 2013-05-13 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
2013-04-25 2013-05-13 An externally vented heating system.
2013-04-25 2013-05-13 Restrictions on the use of portable space heaters.
2013-04-25 2013-05-13 Properly installed electrical wiring and equipment.
2012-05-16 2012-07-05 Corridor and hallway doors that block smoke.
2012-05-16 2012-07-05 Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
2012-05-16 2012-07-05 Walls that prevent smoke from passing through and would resist fire for at least one hour.
2012-05-16 2012-07-05 Exits that are accessible at all times.
2012-05-16 2012-07-05 Emergency lighting that can last at least 1 1/2 hours.
2012-05-16 2012-07-05 A written emergency evacuation plan.
2012-05-16 2012-07-05 Automatic sprinkler systems that have been maintained in working order.
2012-05-16 2012-07-05 Portable fire extinguishers.
2012-05-16 2012-07-05 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2012-05-16 2012-07-05 Exits that are free from obstructions and can be used at all times.
2012-05-16 2012-07-05 A proper laboratory safety education program.
2012-05-16 2012-07-05 Properly installed electrical wiring and equipment.

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