SHENANDOAH VALLEY WESTMINSTER CANTERBURY

WINCHESTER, VA · 51 beds · Non profit - Corporation

47 Trust Score
Grade: D HIGH Risk → Stable

Red Flags

  • No standard inspection in over 2 years
  • 1-star staffing rating

Green Flags

  • No fines or penalties on record

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
12
0.8x state avg
Deficiencies
$0
Fines (3-yr)
★☆☆☆☆
Staffing

Violation Timeline

March 22, 2023

12 deficiencyies
F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0656 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0686 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0697 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

F0757 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0758 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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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 necessary and PRN use is limited.

F0812 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0882 Potential Harm Scope/Severity: F

Infection Control Deficiencies

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Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

September 22, 2021

7 deficiencyies
F0622 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0757 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0909 Potential Harm Scope/Severity: D

Environmental Deficiencies

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Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

February 20, 2020

1 deficiency
F0574 No Harm Scope/Severity: C

Resident Rights Deficiencies

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The resident has the right to receive notices in a format and a language he or she understands.

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Staffing

0.54
RN hrs/res/day
1.59
LPN hrs/res/day
3.65
CNA hrs/res/day
5.29
Weekend hrs/res/day
31%
Total nurse turnover
50%
RN turnover

A nurse checks on each resident roughly every 4.2 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Independent (not part of a chain)
  • HARRIS, MICHELLE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/21/2005

    Individual
  • PATTERSON, PAIGE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/29/2022

    Individual
  • SHILEY, GLORIA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2008

    Individual
  • HARRIS, MICHELLE

    CORPORATE DIRECTOR

    Since since 03/21/2005

    Individual
  • SHILEY, GLORIA

    CORPORATE OFFICER

    Since since 01/01/2008

    Individual
  • WERNECKE, DUANE

    CORPORATE OFFICER

    Since since 07/03/2012

    Individual

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