High Valley Lodge

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program when: 1. One of one inspected medication carts (Medication Cart South) contained a package of syringes with an expiration date of [DATE]. 2. The facility's water management plan was out of date and not implemented as written. These failures had the potential to increase the risk of transmission of infectious microorganisms and waterborne illness to all residents in the facility. Findings: 1. During a concurrent observation and interview on [DATE] at 1:32 p.m., with the Minimum Data Set Coordinator (MDSC), at Medication Cart South, observed a package of syringes in a medication cart drawer. The syringe packaging indicated an expiration date of [DATE]. […]

• No harm, potential for more than minimal, patternF684Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents receive treatment and care in accordance with professional standards of practice for one of one sampled resident (Resident 14) by failing to: 1. Conduct a change of condition (COC- a sudden clinically important deviation from a resident's baseline in physical, cognitive, behavioral, or functional domains), assessment, and monitoring of Resident 14's generalized skin condition. 2. Notify Resident 14's resident representative for the progression of skin condition to the facial area. This failure resulted in insufficient information regarding the resident's wound progression and created the potential for worsening skin condition for Resident 14. […]

• No harm, potential for more than minimal, patternF812Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food storage and food preparation practices in the kitchen when: 1. In reach-in refrigerator 1, one container of non-dairy creamer and a chocolate-flavored syrup did not have an open date label. 2. In reach-in refrigerator 2, a bag of corn tortillas did not have an open date label. There was an opened bag of flour tortillas, a storage bag containing an opened bag of shredded cheese, and a container bottle of sliced dill pickles-left open and not properly sealed. There was one bottle of salad dressing found expired on 6/20/2026. 3. […]

• No harm, potential for more than minimal, patternF814Jul 2, 2026

  Based on observation, interview, and record review, the facility failed to dispose of garbage and refuse properly when: 1. Two dumpsters (a movable waste container designed to be brought and taken away by special collection vehicles, or to a bin that specially designed garbage truck lifts) bodies were not free of rust, dirt and dried liquid spills. 2. The black-colored dumpster had a cluster of ants. 3. Two dumpsters were not completely covered when it had a gap under the lids exposing garbage when not in use. 4. The blue-colored dumpster had overflowing with garbage and not completely closed when not in use. […]

• No harm, potential for more than minimal, patternF657Aug 7, 2025

  Based on interview and record review, the facility failed to revise the comprehensive care plan (a detailed, resident-centered document outlining all aspects of a person's healthcare needs, including medical, social, and emotional support, and was designed to promote overall well-being) for three out of three sampled residents (Residents 2, 3, and 7) when:1. Resident 2's diabetes mellitus (DM-a disorder characterized by difficulty in blood sugar control and poor wound healing) care plan did not reflect the active insulin (a hormone that removed excess sugar from the blood, could be produced by the body or given artificially via medication) orders. 2. […]