Brighton Place Spring Valley

In the surveyor’s words

From the most serious findings on record at Brighton Place Spring Valley, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880May 23, 2024

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure the water management program included a risk assessment to identify legionella and other waterborne pathogens that could grow in the facility water system. This deficient practice had the potential to affect all residents who currently resided in the facility. The facility also failed to ensure staff wore sterile gloves when they set up equipment to perform an indwelling catheter insertion for 1 (Resident #60) of 2 sampled residents reviewed for urinary catheters. Findings included: 1. […]

• No harm, potential for more than minimal, patternF584Dec 10, 2025

  Based on observation, interview and record review, the facility failed to provide a safe, comfortable, homelike environment for three of four sampled residents (Residents 1, 2, and 3) when a broken HVAC (Heating, Ventilation, and Air Conditioning) unit was not repaired in a timely manner, resulting in the inability for staff to control the temperature within a unit of the facility.As a result, Residents 1, 2, and 3 were uncomfortable and reported feeling too cold during the night.Findings:1. […]

• No harm, potential for more than minimal, patternF627Aug 14, 2025

  Based on interview and record review, the facility failed to provide residents and their families with a written Notice of Transfer/Discharge for three of three residents (Resident 1, 2, and 3), when reviewed for discharge. These failures had the potential for residents to experience increased anxiety, when last-minute discharges were conducted, with no ability to appeal the discharge. Findings:An unannounced visit was made to the facility on 8/14/25, in response to a complaint involving a discharge.1. […]

• No harm, potential for more than minimal, patternF757May 8, 2025

  Based on observation, interview, and record review, the facility failed to list and monitor specific behaviors for the use of a psychotropic medication (a drug that affects mental processes, mood, behavior, or perception), to determine the necessity of the medication for two of five residents (Resident 9 and Resident 48), reviewed for unnecessary medication. These failures had the potential for Resident 9 and Resident 48 to receive unnecessary medications. Findings: 1. Resident 9 was admitted to the facility on [DATE], with diagnoses which included unspecified dementia (progressive memory loss) and suicidal ideations (when one thinks or plans to hurt themselves), per the facility's Admission Record. […]

• No harm, potential for more than minimal, patternF919Apr 17, 2024

  Based on observation, interview and record review, the facility failed to ensure that five of five sampled residents call cords were within their reach. Additionally, one resident, Resident 1, did not have an accessible type of call system that was appropriate for his functional level. Additionally, Residents two through five call cords were not placed within their reach. This failure had the potential to prevent residents from obtaining needed assistance from staff. Findings: Resident 1 was admitted on [DATE] with diagnoses that included tremor (shaking or trembling movement in one or more parts of the body), encephalopathy (damage or disease that affects the brain, generalized weakness, and admitted to hospice care. On 4/3/24 at 12:10 P.M. […]