Guadalupe Valley Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Guadalupe Valley Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Apr 26, 2024

  Based on interview and record review, the facility failed to immediately inform the resident's physician and notify, consistent with his or her authority, notify a resident's representative when there was an accident involving the resident when there was a significant change in resident's physical, mental, or psychosocial status for 1 of 5 residents (Resident #1) reviewed for notification of changes in that: The facility failed to promptly notify Resident #1's physician and Resident #1's responsible party when Resident #1 exhibited right-sided facial drooping and edema and coolness to both hands on 4/20/24. These failures resulted in the identification of an Immediate Jeopardy (IJ) on 4/24/24 at 5:23 p.m. […]

• Immediate jeopardy, isolatedF684Apr 26, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 1 of 5 residents (Resident #1) reviewed for notification of changes in that: On 4/20/24, upon the first onset of Resident #1 's symptoms, LVN A failed to recognize significant change of condition until the Resident #1's RP voiced concerns on 4/21/24. These failures resulted in the identification of an Immediate Jeopardy (IJ) on 4/24/24 at 5:23 p.m. […]

• Actual harm, isolatedF656Oct 3, 2022

  Based on interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that include measurable objectives and time frames to meet residents' mental and psychosocial needs for 1 of 7 Residents (Resident #1) reviewed for comprehensive care plans, in that: The facility failed to ensure Treatment Nurse A followed Resident #1's care plan by transfering Resident #1 from her bed to wheelchair, without using the sit-to-stand mechanical lift and without assistance of another staff member. […]

• Actual harm, isolatedF689Oct 3, 2022

  Based on interview, and record review, the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 7 residents (Resident #1) reviewed for accidents and supervision, in that: The facility failed to ensure Treatment Nurse A used the sit-to-stand mechanical lift, as required on the care plan, which directed two-person assist for transfers with a mechanical lift. This resulted in the resident experiencing pain and sustained a right distal femur fracture (fracture of the upper leg bone above the knee). This deficient practice placed residents at risk of injury due inadequate supervision and assistance. […]

• No harm, potential for more than minimal, widespreadF812Oct 14, 2022

  Based on observation, interview and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety during meal service and meal preparation in 1 of 1 kitchen, in that: 1. A scoop was left inside a bin containing food thickener (used for pureeing food) and multiple wet pans were stored on the bottom shelf of the prep table across from the stove. 2. A tray of sausage, a tray of crusty chicken and a block of butter were left uncovered during the lunch meal prep and meal service. DA L did not sanitize the stem of the thermometer with a sanitizer wipe before and after he took the temperature of a piece of crusty chicken. 3. […]