Clinch Valley Medical Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF842Mar 25, 2026

  Based on resident interview, family interview, staff interview, clinical record review, and facility document review, the facility staff failed to accurately document education for the flu and pneumococcal vaccines for 5 of 5 current resident reviews, Residents #2, #3, #7, #9, and #16. The findings included: 1. For Resident #2 (R2), the facility failed to provide documented evidence of education regarding risks verses benefits for the flu and pneumococcal vaccines. R2's diagnosis list indicated diagnoses, which included, but not limited to hip fracture, hypertension, and diabetes.The most recent quarterly minimum data set (MDS) with an assessment reference date (ARD) of 3/6/26 assigned R2 a brief interview for mental status (BIMS) summary score of 11 out of 15 for cognitive abilities,… […]

• No harm, potential for more than minimal, isolatedF880Mar 25, 2026

  Based on observation, staff interview, clinical record review, and facility document review, the facility staff failed to follow establish infection control guidelines for 1 of 5 current residents in the survey sample, Resident #9.The findings included: The facility nursing staff failed to wear gloves when accessing a peripheral IV site.Per the Cleveland Clinic a peripheral IV is a thin, flexible tube that healthcare providers use to draw blood and administer treatments, IV fluids, and medications.Resident #9's diagnoses included urinary tract infection, hypertension, and diabetes.Section C (cognitive patterns) of Resident #9's admission minimum data set (MDS) assessment with an assessment reference date (ARD) of 03/18/26 included a brief interview for mental status (BIMS) score of 13 out… […]

• No harm, potential for more than minimal, isolatedF582Jan 10, 2023

  Based on interviews and document reviews, the facility staff failed to provide NOMNC notifications for two (2) of three (3) residents selected for SNF (Skilled Nursing Facility) Beneficiary Notification Review (BNR). (These two (2) residents will be identified as BNR Resident-B and BNR Resident-C.) The findings include: Three (3) residents were selected for SNF Beneficiary Notification Review. These three (3) residents were selected from the list of Medicare beneficiaries who were discharged from a Medicare covered Part A stay with benefit days remaining in the past 6 months prior to the survey; this list was provided by facility staff members. Two (2) of the three (3) residents were reported to not have been provided the NOMNC (CMS 10123) (Notice of Medicare Non-Coverage). […]

• No harm, potential for more than minimal, isolatedF758Feb 17, 2021

  Based on staff interview and clinical record review the facility staff failed to ensure 2 of 10 residents were free from unnecessary medications, Resident #8 and Resident #14. The findings included: 1. For Resident #8 the facility staff failed to provide a diagnoses/indication for use for the [CONDITION(S)] medication [MEDICATION(S)] ([MEDICATION(S)]). Resident #8's admission H and P (history and physical) listed diagnoses that included, but not limited to septic right lower extremity joint present on admission, hx of [CONDITION(S)], history of [CONDITION(S)] ([CONDITION(S)]), hypertension, history of sleep apnea, and history of [CONDITION(S)]. […]

• No harm, potential for more than minimal, isolatedF761Feb 17, 2021

  Based on staff interview, facility document review, and during a medication pass and pour observation facility staff failed to store drugs in locked compartments for 1 of 1 nursing units. The findings included: The facility staff failed to secure the following medications: [MEDICAL RECORD OR PHYSICIAN ORDER] . LPN (licensed practical nurse) #1 left the medications out on top of the medication cart and out of their view during a medication pass. On 2/17/21 at 4:11pm LPN #1 opened a single dose package of lactobacillus and placed the tablet in a medication cup on top of the medication cart. LPN #1 left the medication cart to retrieve required PPE (personal protective equipment) leaving the cart and the medication cup with the lactobacillus tablet on top of the cart and out of their view. […]