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Inspection visit

Health inspection

SHENANDOAH VALLEY HEALTH AND REHABCMS #49516810 citations on this visit
10 citations recorded

Citations

10 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0626GeneralS&S Dpotential for harm

    F626 - Transfer and discharge-

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

  • 0657SeriousS&S Gactual harm

    F657 - Comprehensive Care Plans

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0698SeriousS&S Gactual harm

    F698 - Dialysis

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • 0730GeneralS&S Fpotential for harm

    F730 - Regular in-service education

    Observe each nurse aide's job performance and give regular training.

  • 0755GeneralS&S Dpotential for harm

    F755 - Pharmacy Services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0838GeneralS&S Fpotential for harm

    F838 - Facility assessment

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

  • 0842GeneralS&S Dpotential for harm

    F842 - Resident-identifiable information

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  • 0880GeneralS&S Fpotential for harm

    F880 - Infection Control

    Provide and implement an infection prevention and control program.

  • 0940GeneralS&S Fpotential for harm

    F940 - Training Requirements

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

  • 0944GeneralS&S Fpotential for harm

    F944 - Quality assurance and performance improvement

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

FAQ · About this visit

Common questions about this visit

What happened during the January 31, 2024 survey of SHENANDOAH VALLEY HEALTH AND REHAB?

This was a inspection survey of SHENANDOAH VALLEY HEALTH AND REHAB on January 31, 2024. The surveyor cited 10 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at SHENANDOAH VALLEY HEALTH AND REHAB on January 31, 2024?

Yes, 10 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.