Hidden Valley Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF807Oct 1, 2024

  Based on record review, observation, and staff interview, the facility failed to ensure Resident #21 received liquid at the appropriate thickness as ordered by the physician. Resident #21 would have been given regular consistency tea had the surveyor not intervened. Resident #21 physician's orders indicated she should only receive pudding/spoon thickened liquids. The State Agency (SA) found this failure rose to the level of an Immediate Jeopardy (IJ). The Nursing Home Administrator (NHA) and Director of Nursing (DON) was notified of the IJ on 09/25/24 at 3:45 PM. The SA accepted the plan of Correction (POC) at 6:40 PM on 09/25/24. After verification of the steps of the POC being Implemented the IJ was abated at 3:15 PM on 09/26/24. […]

• No harm, potential for more than minimal, widespreadF812Apr 22, 2026

  Based on observation, record review and staff interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food safety. Additionally, the facility failed to follow the proper sanitation practices for the kitchen and the food preparation equipment. This practice had the potential to affect all of the residents. Facility census: 74. Findings include:a) Healthcare Services Group (HCSG) policy #28 titled Environment states:All food preparation areas, food service areas, and dining areas will be maintained in a clean and sanitary condition.The Dining Services Director will ensure that the kitchen is maintained in a clean and sanitary manner, including floors, walls, ceilings, lighting, and ventilation.All food contact surfaces will be… […]

• No harm, potential for more than minimal, widespreadF725Oct 1, 2024

  Based on record review and staff interview, the facility failed to proved sufficient nurse staffing numbers. This had the potential to affect all residents. Facility census: 77. Findings included: a) Resident Interviews During an interview on 09/23/24 at 03:50 PM, resident #39 reported that staff would turn off her call light and tell her they would be right back to assist her and she has had to wait 2 hours for them to come back. On 09/24/24 at 08:38 AM, an interview with resident #7 who reported that she had to wait from 4:30 PM to 7:30 PM and at dinner time she had to wait to get her brief changed due to low staff numbers. […]

• No harm, potential for more than minimal, widespreadF727Oct 1, 2024

  Based on record review and staff interview, the facility failed to ensure a Registered Nurse was available 8 consecutive hours a day, 7 days a week. This had the potential to affect all residents at the facility. Facility census: 77. Findings included: a) A review of the facility staff postings revealed that on 09/14/24 and 09/28/24 no Registered Nurse (RN) was scheduled to work on the above dates. A review of timecards for all staff working on 11/19/23 and 12/03/24 found no RN coverage. On 09/15/24 and 09/22/24 there was RN coverage reported but no proof on time card, notes, medication administration that there was RN coverage on those days. b) On 10/01/24 at 3:48 PM, an interview with Scheduling and Payroll Manager #15 was conducted. […]

• No harm, potential for more than minimal, patternF584May 13, 2026

  Based on staff interview and observation, the facility failed to ensure a safe, clean home-like environment for residents by not providing clean linen and an adequate amount of linen available for resident use. This failed practice had the potential to affect more than a limited number of residents. Facility Census: 76.a) Mary's Garden On 05/12/26 at 1:00 PM, a tour of the unit was completed. The linen storage room was observed. The observation found minimal linen available for residents. There were seven (7) towels found in the closet. One (1) of the seven (7) towels was noted with a dark brown stain. There were 11 wash cloths found in the closet. Eight (8) of the 11 wash clothes were noted with dark brown stains, white bleach stains as well as faded colors and frayed areas. […]