Alden Valley Ridge Rehab & HCC

In the surveyor’s words

From the most serious findings on record at Alden Valley Ridge Rehab & HCC, in the surveyor’s own words.

• Immediate jeopardy, patternF600Feb 16, 2023

  Based on observation, interview and record review the facility neglected to provide sufficient numbers of nursing staff to meet the physical and psychosocial needs of residents in the facility. The facility failed to ensure facility residents were free of neglect resulting in the actual or potential physical and/or psychosocial harm to 18 of 18 residents in a sample of 23. This failure resulted in physical harm to R1 who was observed to have two re-opened, previously healed pressure ulcers and scratch marks on her skin from skin irritation, psychosocial harm to R1 after not receiving showering assistance from staff which caused her to become more depressed, physical harm to R16 after R16's previously healed pressure injury reopened, physical harm to R4 after development of a new pressure… […]

• Immediate jeopardy, patternF689Dec 15, 2022

  Based on observation, interview, and record review, the facility failed to ensure a resident identified as a high risk for elopement was provided adequate supervision to prevent elopement from the facility. This failure resulted in R1 eloping from the facility without being witnessed on December 8, 2022. R1 was found across a six lane busy road at a gas station and required warming with blankets from emergency medical services. R1 was found at approximately 4:57 AM. At the time of R1's elopement, V9 (RN/Registered Nurse) and V10 (CNA/Certified Nursing Assistant) were the staff members working on the unit R1 resided. V9 and V10 were responsible for monitoring 44 residents, and of the 44 residents, 16 residents required every 30 minute observations. […]

• Immediate jeopardy, isolatedF689Sep 12, 2022

  Based on observation, interview and record review, the facility failed to ensure that a resident identified with exit seeking behavior, was provided adequate supervision to prevent elopement from the facility. The facility also failed to ensure that the main entrance sliding door alarm was working to alert facility staff to a resident's attempt to elope. This failure resulted in R1 eloping from the facility without being witnessed by the staff on August 31, 2022. R1 was found walking on the street by the local police department approximately 338 feet from the facility, on a six-lane road. This failure resulted in Immediate Jeopardy. This applies to 1 of 5 residents (R1) reviewed for elopement risk in the sample of 5. […]

• Actual harm, patternF677Feb 16, 2023

  Based on observation, interview and record review, the facility failed to ensure facility residents received ADL (Activities of Daily Living) assistance per their plan of care. This failure resulted in the physical harm to R1 who was observed to have two re-opened, previously healed pressure ulcers and scratch marks on her skin from skin irritation. In addition, R1 also experienced psychosocial harm after not receiving showering assistance from staff which caused her to become more depressed. […]

• Actual harm, patternF725Feb 16, 2023

  Based on observation, interview an record review, the facility failed to ensure facility provided sufficient staffing to meet the care needs of residents of the facility. This failure resulted in the physical harm to R1 who was observed to have two re-opened, previously healed pressure ulcers and scratch marks on her skin from skin irritation. In addition, R1 also experienced psychosocial harm after not receiving showering assistance from staff which she states caused her to become more depressed. […]