Eagle Valley Meadows

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 1, 2025

  Based on observations and interviews, the facility failed to date items when opened and prepped for 1 of 1 kitchen observation. Findings include: On 7/27/25 at 10:02 a.m., a tour of the kitchen was conducted. Observed a cell phone lying next to pies that were defrosting. [NAME] and chocolate milk had no date opened on the containers. A salad was prepped with no date on the wrap.On 7/27/25 at 10:30a.m., the cook indicated the milk should have had a date open on the container.A policy titled, Food Storage was provided by the Regional Director of Clinical Services (RDCS) on 7/30/25 at 11:30 a.m. It indicated, .All foods shall be covered or wrapped tightly, labeled and dated.3.1-21(j)(1)3.1-21(j)(3)

• No harm, potential for more than minimal, patternF921Dec 9, 2025

  Based on observation and interview, the facility failed to maintain a clean and sanitary environment on 3 of 4 hallways observed for cleanliness (Hallways A, B, and D). Findings include: 1. On 11/24/25 Resident CC's family member e-mailed the Executive Director (ED) requesting a deep cleaning of the resident's bathroom. The e-mail indicated during a visit the resident's room and bathroom floors were filthy, and she was requesting they be cleaned. During the initial tour of Hallway D the following was observed: a. On 12/8/25 at 10:58 a.m., Resident D was observed propped in a bed positioned against the wall, watching videos on her cellphone, and the television on but muted. There was a large area of dried dark substances on the wall near the resident's head. On 12/9/25 at 10:38 a.m. […]

• No harm, potential for more than minimal, patternF584Aug 1, 2025

  Based on observations, interviews, and record review, the facility failed to provide a clean, comfortable, and homelike environment for residents residing in the Memory Care (MC) unit for 6 days of observations and 4 of 4 months of grievances reviewed. These deficiencies had the potential to lead to increased risk of infection, safety hazards, and an institutional rather than homelike setting for 20 of 20 residents residing in the MC unit.Findings include: 1.On 7/27/25 at 10:38 a.m., an Air Conditioning (AC) unit mounted to the wall in the MC front lounge was observed actively dripping water from built up condensation. The water leaked down the wall, and dripped on top of a cushioned chair. […]

• No harm, potential for more than minimal, patternF677Aug 1, 2025

  Based on observations, interviews, and record review, the facility failed to provide necessary assistance with activities of daily living (ADLs) such as, dressing, grooming, hygiene, toileting, and repositioning for multiple dependent residents in the Memory Care (MC) unit for 5 of 8 residents reviewed for ADLs (Residents 27, 57, 34, 58 and 56). Findings include:During an initial observation in the secured memory care unit (MC) on 7/27/25 at 10:38 a.m., the following was observed:Multiple residents were observed in the main dining/activity lounge who wore unclean, ill-fitted socks and clothing with unkempt, tangled or greasy hair.Resident 27 sat in a wheelchair (wc) which had a copious about of bright orange duct tape to the brake handles and inside panel. […]

• No harm, potential for more than minimal, patternF725Aug 1, 2025

  Based on observations, interviews, and record review, the facility failed to ensure sufficient staffing was provided to meet resident care needs. This deficient practice had the potential to affect 20 of 20 residents who resided in the secured memory care unit and 1 of 3 residents reviewed for NOMNC notification. (Residents 17 and B)Findings include:1. On 7/27/25 at 11:00 a.m., the day shift time and attendance records for nursing staff assignments on the 6:00 a.m. -2:00 p.m. shift, with a resident census of 77, were reviewed. According to the timesheets, the following staff were physically present in the building during the 6-2 shift:Licensed Nurses:Registered Nurse (RN) 9: 6:52 a.m. - 2:52 p.m.Licensed Practical Nurse (LPN) 11: 7:45 a.m. - 11:40 a.m.LPN 12: 6:42 a.m. […]