Maggie Valley Health and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Jan 14, 2025

  Based on observations, record review, and staff, Nurse Practitioner (NP), and Health Department (HD) Nurse interviews, the facility failed to operationalize updated infection control policy and procedures in accordance with current Centers for Disease Control and Prevention (CDC) guidance. A) The facility failed to implement broad-based approach COVID-19 testing for staff and residents on 12/26/24 when a staff member and residents on two different resident halls tested positive for COVID-19. Broad-based COVID-19 testing per the (CDC) guidance was not implemented until 1/8/24 after surveyor intervention. Before broad-based testing was implemented on 1/8/24, a total of 8 staff members and 17 residents tested positive for COVID-19. […]

• Actual harm, isolatedF600May 29, 2025

  Based on observations, record review, and interviews with resident, staff, and law enforcement agent, the facility failed to protect a resident's right to be free from abuse when a family member (Family Member #2) pinched and twisted Resident #2's upper right shoulder during a visit. A staff member that intervened at the time of the incident asked Resident #2 if she was okay and Resident #2 started crying and appeared distressed. Resident #2 reported the incident resulted in pain, bruises, and soreness in her right shoulder and right forearm areas. In addition, the facility failed to protect a resident's right to be free from abuse when a family member (Family Member #1) grabbed and pinched Resident #1's right arm during a visit. […]

• No harm, potential for more than minimal, widespreadF567Mar 19, 2026

  Based on record review and resident, staff and Regional Business Office Manager interviews, the facility failed to provide residents with access to their personal trust accounts for more than two months for 2 of 2 residents reviewed for management of personal funds (Resident #74 and #12). This practice had the potential to affect 66 residents who maintained trust accounts at the facility.The findings included:a. Resident #74 was admitted to the facility on [DATE].A review of Resident #74's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed he was cognitively intact.An interview on 3/19/26 at 8:44 AM with Resident #74 revealed he maintained a trust account at the facility and used his money every month to pay for toiletries and other personal items. […]

• No harm, potential for more than minimal, patternF761Jan 14, 2025

  Based on observations and staff interviews, the facility failed to date medications available for use, store an unopened eye drop bottle in the refrigerator until opened for use, and discard expired medications from 3 of 4 medication carts (400 hall medication cart, 500 hall medication cart, and 200 medication cart). The findings included: a. An observation of the 400 hall medication cart on 1/9/25 at 9:42 AM with Nurse #2 revealed an undated Insulin Glargine pen available for use in the top drawer of the medication cart. […]

• No harm, potential for more than minimal, patternF641Jul 26, 2023

  Based on record review and staff interview the facility failed to accurately code the Minimum Data Set (MDS) assessment for behaviors (Resident #3), anticoagulant use (Resident #12 and #8) and developmental disability (Resident #72) for 4 of 23 residents whose MDS assessments were reviewed. Findings included: 1. Resident #3 was admitted to the facility on [DATE] with diagnoses that included heart failure and hypertension. A progress note dated 4/21/23 indicated Resident #3 had refused to participate in transfers. Review of a progress note dated 4/25/23 revealed Resident #3 refused to participate in assisted range of motions and transfers. Resident #3's Minimum Data Set (MDS) assessment dated [DATE], a quarterly assessment revealed she was cognitively intact with no behaviors. […]