Daughters of Israel Pleasant Valley Home

In the surveyor’s words

From the most serious findings on record at Daughters of Israel Pleasant Valley Home, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 12, 2026

  Based on observation, interview, record review and policy review, it was determined that the facility failed to a.) store potentially hazardous foods in a manner to prevent food borne illness, and b.) failed to sanitize and air dry steam table pans in a manner to prevent microbial growth. This deficient practice was evidenced by the following: On 3/9/26 at 11:07 AM, in the presence of the General Manager (GM) and the Executive Chef (EC), the surveyor observed the following:On the dairy side of the kitchen, on a shelf in the food preparation area, the surveyor also observed 6 spice containers with their tops opened. The GM stated these lids should be closed. […]

• No harm, potential for more than minimal, widespreadF730Oct 18, 2024

  Based on observation, interview and review of facility provided documentation, it was determined that the facility failed to ensure that the Certified Nursing Aide (CNA) received a performance review for five (5) of five (5) CNA files reviewed. This deficient practice was evidenced by the following: A review of the facility provided, Licensed annual education, competencies, and performance reviews, dated January 2023 to October 2024, did not reveal performance reviews for the five (5) randomly selected CNAs. […]

• No harm, potential for more than minimal, widespreadF868Oct 18, 2024

  Based on interview and record review, it was determined that the facility failed to assure that the required staff attended the quarterly Quality Assurance (QA) meetings. This was identified for 3 of 3 quarterly QA meetings reviewed. This deficient practice was evidenced by the following: The surveyor requested to review the QA meeting sign in sheets for the last 3 quarters dated September 5, 2024, July 16, 2024 and May 23, 2024, upon entrance. A review of the QA meetings sign in sheets revealed that the Infection Control Preventionist (IP) had not been in attendance for the three meetings. […]

• No harm, potential for more than minimal, patternF695Mar 12, 2026

  Based on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure a.) that the physician's orders were followed according to the standard of clinical practice for 4 of 4 residents, (Resident #8, 72, 108 and 114), reviewed for respiratory care, and b.) failed to provide a humidifier according to the facility's policy and procedure for one (1) of 4 residents, (Resident #108) reviewed for respiratory care.This deficient practice was evidenced by the following:1.On 3/6/26 at 10:35 AM, the surveyor observed Resident #8 in bed in their room, receiving oxygen via a nasal cannula (NC, a plastic prong attached to a tube, inserted into the nostrils through which O2 flows) from a concentrator and the surveyor observed the… […]

• No harm, potential for more than minimal, patternF880Mar 12, 2026

  Based on observation, interviews, and review of pertinent facility documents, it was determined that the facility failed to follow appropriate infection control practices to prevent and control the spread of infection. Specifically the facility failed to: a) post required signage at the rooms for 9 of 9 residents reviewed for Enhanced Barrier Precautions (Resident #'s 1, 2, 4, 8, 12, 67, 108, 113, 114), b) failed to handle medications in a sanitary manner during medication administration observation and medication storage review by 1 of 3 nurses observed during medication administration and 1 of three nurses observed during medication storage review, and c) a failure to cleanse blood glucometer between uses by 1 of 3 nurses observed during medication administration. […]