Havencare at Valerie Manor

In the surveyor’s words

From the most serious findings on record at Havencare at Valerie Manor, in the surveyor’s own words.

• Actual harm, isolatedF760Aug 16, 2022

  Based on clinical record review, facility documentation review, facility policy review, and interviews for one sampled resident (Resident #1) who was a recent admission, the facility failed to verify the resident's identity prior to administering medication which resulted in a significant medication error and a hospital admission. The findings include: Resident #1 was a recent admission with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The admission Minimum Data Set assessment dated [DATE] identified Resident #1 made reasonable and consistent decisions regarding tasks of daily life and was independent with eating and drinking. […]

• No harm, potential for more than minimal, widespreadF880Jan 21, 2026

  Based on review of the clinical record, facility policy, facility documentation, and interviews for 3 of 5 residents (Resident #8, Resident #39, and Resident #48) reviewed for respiratory infections, the facility failed to implement droplet precautions prior to obtaining the results of nasal swabbing, and for 4 residents (Resident #17, Resident #29, and Resident #103, Resident #118) reviewed for transmission based precautions (TBP), the facility failed to ensure staff wore appropriate personal protective equipment (PPE) when entering a room with requiring droplet/contact precautions per posted signage. […]

• No harm, potential for more than minimal, patternF656Jan 21, 2026

  Based on review of the clinical record, facility policy, facility documentation, and interviews for 2 of 3 residents (Resident #78 and Resident #84) reviewed for dental, the facility failed to develop a dental care plan. The findings include: 1.Resident #78's diagnoses included chronic obstructive pulmonary disease (COPD), diabetes, and dementia. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #78 was cognitively intact, required a therapeutic diet, had no natural teeth or tooth fragments, and was independent with eating, oral hygiene, transfers, and ambulation. The Resident Care Plan (RCP) dated 12/21/22 identified Resident #78 required a therapeutic diet related to morbid obesity and poorly controlled diabetes. […]

• No harm, potential for more than minimal, patternF812Jan 21, 2026

  Based on tour of the Dietary Department, staff interview and facility policy, the facility failed to ensure Dietary Aide (DA) #1's attire was clean and failed to ensure expiration dates were identified on various food items. The findings include: On 1/12/26 at 10:14 AM, tour of the Dietary Department with the Food Service Director (FSD) identified the following:a. Dietary Aide (DA) #1 was working in the dish room removing clean items from the dishwasher. She was wearing a black shirt with a heavy accumulation of fuzz/lint and animal hair on both sides of the shirt. Her shirt was not covered with any type of overshirt/apron which would contain the fuzz/lint/animal hair. […]

• No harm, potential for more than minimal, patternF842Aug 19, 2025

  Based on review of the clinical record, facility documentation, facility policy, and interviews for four (4) of four (4) residents (Resident #3, Resident #4, Resident #5, and Resident #6) reviewed for medication administration, the facility failed to ensure the clinical records were accurate to reflect when medications were administrated. The findings include:1. Resident #3 had diagnoses that included adult failure to thrive, weakness, and dementia.The quarterly Minimum Data Set (MDS) dated [DATE] identified Resident #3 had a Brief Interview for Mental Status (BIMS) score of two (2) indicative of severely impaired cognition, was always incontinent of bowel and bladder, dependent on staff for all ADLs, including bed mobility, and transfers, was non ambulatory, and dependent on staff for… […]