Haven Health Green Valley, LLC

In the surveyor’s words

From the most serious findings on record at Haven Health Green Valley, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584May 23, 2024

  Based on observations, staff interviews, and the facility policy and procedures, the facility failed to ensure that floor tiles, laminate flooring, shower drain, and door frame in common areas were safe for residents ambulating and showering. The deficient practice could result in residents falling and/or being injured. Findings include: On May 21, 2024 at 4:23 p.m., a walk through of the facility was conducted and the following environmental issues were observed: -one rectangular panel of the laminate flooring in Hall 100, between rooms #127 and #128, was broken and approximately half an inch was missing from one of the corners of the laminate. -the laminate panel in the doorway of room [ROOM NUMBER] was observed to have approximately 16.5 inches in length broken and missing. […]

• No harm, potential for more than minimal, patternF680May 23, 2024

  Based on personnel file review, staff interview, and facility documentation and policy review, the facility failed to ensure the activities program was directed by a qualified professional. The deficient practice could result in the activities provided not meeting the assessed needs of the residents. Findings Include: A review of the personnel file for the role of activity manager (staff #432) was conducted on May 21, 2024. However, review of file did not reveal evidence that staff #432 possessed the qualifications required for the role of activities director. An interview was conducted on May 21, 2024 at 1:12 P.M. with staff #498, human resource manager. […]

• No harm, potential for more than minimal, patternF726Jan 13, 2023

  Based on personnel file review, staff interviews, and facility policy, the facility failed to ensure that two of two sampled Certified Nursing Assistants (CNA/staff #100 and #91) were able to demonstrate competencies and skills necessary to provide care for residents. The census was 80. The deficient practice could result in inadequate care for residents. Findings include: Review of a personnel file for a CNA (staff #100) revealed a hire date of 05/14/03, for hourly employment. The personnel record contained no evidence of a comprehensive evaluation for nursing skills and competencies for 2022. Review of a personnel file for CNA/staff #91 revealed a hire date of 08/12/20, for hourly employment. […]

• No harm, potential for more than minimal, patternF755Jan 13, 2023

  Based on observations, staff interviews, and policy review, the facility failed to ensure their system of medication records is complete to enable accurate reconciliation and accounting for all controlled medications. The deficient practice could result in misappropriation of residents' medications. Findings Include: -Prior to medication pass observation conducted on January 11, 2023 at 8:26 a.m. with a licensed nurse (LPN/ staff #47), she was observed handed medication cards wrapped in the reconciliation sheets to the assistant director of nursing (ADON/staff #109). Staff #109 walked away with medication cards in her hands to another unit. Following this observation, an interview was conducted with staff #47 on January 11, 2023 at 8:50 a.m. […]

• No harm, potential for more than minimal, patternF756Jan 13, 2023

  Based on review of the clinical record , staff interviews and review of the facility policy, the facility failed to ensure the pharmacist identified adequate monitoring for the use of medications in the pharmacy review for 5 residents (#32,#14,#37, #41 and #25). The deficient practice could allow for medication side effects and adverse consequences to go unadressed. Findings include: Regarding Resident #14- Resident #14 was admitted [DATE] with diagnoses to include the primary diagnosis of Covid 19 and other diagnoses of schizoaffective disorder bipolar type, bipolar II disorder, generalized anxiety disorder, major depressive disorder and dementia with other behavior disturbance. […]