Browns Valley Health Center

In the surveyor’s words

From the most serious findings on record at Browns Valley Health Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 4, 2026

  Based on interview and document review the facility failed to protect 1 of 1 resident (R1) from abuse when nurse aid (NA)-B physically and verbally abused R1 during cares. This resulted in serious psychosocial harm for R1 who became withdrawn, had a decreased appetite, and increased crying following the incident. The IJ began on 2/21/26 at 7:45 p.m., when NA-B was witnessed to make derogatory statements, used foul and aggressive language, and slapped R1 on the backside. NA-B was not removed from shift and continued to work with R1 and other vulnerable residents despite an internal report being made. The administrator and director of nursing (DON) were notified of the IJ on 3/4/25 at 1:00 p.m. […]

• No harm, potential for more than minimal, widespreadF812Mar 12, 2025

  Based on observation, interview, and document review, the facility failed to ensure staff wore hair restraints in the kitchen. Further, the facility failed to ensure food and beverages stored in the refrigerators, were labeled, dated and discarded properly. This deficient practice had the potential to affect all 28 residents who received food and beverages from the refrigerators and the kitchen. Findings include: Hair nets: On 3/10/25 at 12:02 p.m., dietary manager (DM) was standing at the dishwasher pulling clean dishes out of the dishwasher. DM hair was approximately 1/4 inch in length and was not wearing any type of a hair restraint. […]

• No harm, potential for more than minimal, widespreadF851Apr 17, 2024

  Based on interview and document review, the facility failed to submit complete and accurate direct care staffing information, including information for licensed practical nursing staff, based on payroll and other verifiable and auditable data, during 1 of 1 quarters reviewed (Quarter 1), to the Centers for Medicare and Medicaid Services (CMS) according to specifications established by CMS. This deficient practice had the potential to affect all 27 residents residing in the facility. […]

• No harm, potential for more than minimal, widespreadF812Jun 10, 2021

  Based on observation, interview and document review, food was not served in a sanitary and clean manner for 33 residents who resided in the facility, observed during dining observation. In addition, the facility failed to maintain the ice machine in a sanitary manner to prevent potential contamination for 33 residents who currently received ice from the ice machine. Findings include: Food Service On 6/7/21, at 5:33 p.m. dietary cook (DC)-A was observed applying gloves to his left hand or both hands during each time he plated a residents meal on the plates for service. At 5:35 p.m. […]

• No harm, potential for more than minimal, patternF880Mar 12, 2025

  Based on observation and interview, the facility failed to disinfect a multi-use glucometer( a machine that is used for blood glucose monitoring) after use for 2 of 2 residents (R11, R6) reviewed for blood glucose monitoring. This deficient practice had the ability to affect all 9 residents who required blood glucose monitoring. Findings include: The Centers for disease Control and Prevention (CDC) Infection Prevention for Blood Glucose Monitoring and Insulin Administration dated 2/6/2013, identified due to the risk of transmitting infectious diseases during assisted blood glucose (blood sugar) monitoring whenever possible, blood glucose meters should not be shared. […]