Glen at Willow Valley

In the surveyor’s words

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

• Actual harm, isolatedF689Dec 2, 2021

  Based on clinical record review, review of facility documentation and interview, it was determined that the facility failed to provide supervision to prevent a second fall resulting in actual harm of a identified probable nasal fracture to one of eight residents reviewed (Resident 53). This was identified as past non compliance effective September 30, 2021. Findings include: Review of facility policies and procedures failed to reveal a policy identifying when additonal supervision is warranted for outside appointments or activities. […]

• No harm, potential for more than minimal, patternF684Nov 17, 2023

  Based on clinical record review and staff interview it was determined the facility failed to obtain or follow physician orders for four of 40 residents reviewed. (Residents 19, 72, 134, and Resident 156) Findings include: Review of Resident 19's physician orders revealed an order dated May 8, 2023 for Tramadol Tablet (narcotic pain reliever) 50 milligrams (mg) give half a tablet by mouth two times a day for pain. Further review of Resident 19's physician orders revealed an order dated June 14, 2023 for Lorazepam (antianxiety medication) 0.5 mg tablet give one tablet by mouth two times a day for anxiety. […]