Aurora Valley Care

In the surveyor’s words

From the most serious findings on record at Aurora Valley Care, in the surveyor’s own words.

• Actual harm, isolatedF791Jun 27, 2024

  Based on interview, and record review, the facility failed to schedule a dental appointment for 1 of 1 sampled resident (Resident 59), reviewed for dental services. Resident experienced on-going mouth pain when there was a delay in coordination of a dental extractions appointment. This failed practice placed residents at risk of diminished quality of life. Findings included . Review of 03/20/2024 quarterly assessment, Resident 59 was cognitively intact, able to make decisions regarding their care, and had diagnoses which included cavities. […]

• Actual harm, isolatedF600Jun 12, 2024

  Based on interview and record review the facility failed to act timely after altercations between Resident 1 with a roommate (Resident 2) for 1 of 4 sampled residents (Resident 1), reviewed for abuse. Resident 1 experienced verbal abuse and psychosocial harm evidenced by anxiety, tearfulness, lack of sleep, and expressed fear and not feeling safe in the facility because of their roommates' behaviors. This failure placed residents at risk of verbal and mental abuse, psychosocial harm, and diminished quality of life. Findings included . Review of the facility policy titled, Prevention and Reporting: Resident Mistreatment, Neglect, Abuse . […]

• Actual harm, isolatedF689Mar 27, 2023

  Based on observation, interview, and record review, the facility failed to recognize and remove safety hazards prior to a burn injury occurring for 1 of 3 sample residents (Resident 1), reviewed for accidents. The facility was aware the resident was using a heating device that could potentially cause injuries yet did not address the issue until a burn occurred. This failure resulted in actual harm to Resident 1 who sustained a preventable burn injury. Findings included: A quarterly assessment, dated 01/02/2023, showed Resident 1 was cognitively intact and required extensive assistance of two people with bed mobility, setup assistance to eat meals, and had limited range of motion in both upper arms. […]

• Actual harm, isolatedF684Jan 20, 2023

  Based on observation, interview, and record review, the facility failed to monitor and intervene timely for 2 of 2 sample residents (9, 17), who experienced changes related to medication management. These failures caused actual harm to Resident 9, a resident with mental health diagnoses, who did not receive necessary medication secondary to required lab work not being completed and experienced anxiety, inadequately controlled insomnia, and a diminished quality of life, and placed Resident 17 at risk for worsening symptoms of heart failure. […]

• Actual harm, isolatedF600Aug 23, 2022

  Based on observation, interview, and record review, the facility failed to ensure 1 of 3 sample residents (1) reviewed for abuse, was free from sexual abuse. This failure resulted in actual psychosocial harm to Resident 1, who exhibited signs of fear and withdrawal after unwanted sexual contact from another facility resident (3). Findings included . Review of the 06/20/2022 quarterly assessment showed Resident 3 was cognitively intact and was independent with activities of daily living (ADLs). Per the 08/17/2022 quarterly assessment, Resident 1 was severely cognitively impaired and was dependent on staff for ADLs. Review of a 08/17/2022 facility investigation showed staff responded to Resident 1's room at approximately 5:30 PM that day, due to Resident 1 yelling and screaming. […]