Marion Valley Post Acute

In the surveyor’s words

From the most serious findings on record at Marion Valley Post Acute, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 23, 2026

  Based on observation, dishwasher temp logs, manufacturer recommendations, interview, and policy review the facility failed to ensure the dishwasher temp was high enough for sanitation. This had the potential to affect all residents who reside in the facility. The facility census was 113.Findings include:Observation on 04/20/26 at 9:31 A.M. of the dishwasher revealed the tag on front of dishwasher minimum temperature of wash cycle was 159 degrees Fahrenheit (F), pump rinse of 160 degrees F, and final rinse of 180 degrees F with 20 psi pressure. Observation of the dishwasher not running revealed a wash temp of 160 degrees, rinse pump 170 degrees F, and final rinse of 178 degrees F. […]

• No harm, potential for more than minimal, widespreadF868Jul 1, 2025

  Based on review of Quality Assurance and Performance Improvement (QAPI) sign in sheets, staff interview and policy review, the facility failed to ensure the Medical Director attended QAPI meetings quarterly, as required. This had the potential to affect all 80 residents residing in the facility. The facility census was 80. Findings include: Review of the facility QAPI sign in sheets revealed the facility held monthly meetings on 02/11/25, 03/31/25, 04/24/25, 05/30/25, and 06/26/25. Further review revealed the facility's Medical Director was not present for any of the QAPI meetings during this time. Interview on 07/01/25 at 2:19 P.M. […]

• No harm, potential for more than minimal, widespreadF812Nov 26, 2024

  Based on observation, interview, and policy review, the facility failed to maintain the kitchen in a clean and sanitary manner. This had the potential to affect all residents who receive food and beverages from the kitchen in the facility. The facility census was 103. Findings include: Interview on 11/21/2024 at 2:17 P.M. with Resident #38's family member revealed his other family member was allowed to go into the kitchen to get ice and they stated the kitchen was very unsanitary. Observation on 11/26/2024 at 11:16 A.M. revealed a ceiling tile behind the tray line was water damaged, cracked, and bowing outwardly toward the floor. Interview on 11/26/2024 at 11:16 A.M. with Dietary Aide #72 confirmed the ceiling tile was water damaged, cracked and bowing. […]

• No harm, potential for more than minimal, widespreadF812May 30, 2024

  Based on observations, staff interview, and review of facility policy, the facility failed to ensure proper hand hygiene during lunch meal service. This had the potential to affect 113 residents who ate food served from the kitchen. The facility identified two (#21 and #107) residents who received no food from the kitchen. The facility census was 115. Findings include: Observations on 05/30/24 from 11:40 A.M. to 12:20 P.M. revealed Cook #309 donned clean gloves at 11:42 A.M., without completing any hand hygiene prior to donning the gloves. Cook #309 started the lunch meal service. At approximately 11:45 A.M., Cook #309 used his gloved hands to touch the spaghetti noodles that were hanging down off the plate to put them on the plate properly. At 11:48 A.M. […]

• No harm, potential for more than minimal, widespreadF841Feb 10, 2023

  Based on record review, review of the Facility Assessment, interview, and review of the medical director employment contract, the facility Medical Director (#300) failed to ensure the rights of residents were not violated regarding readmission to the facility and failed to fulfill the medical director responsibilities to ensure care and services were provided to all residents. This affected one (#10) out of three residents reviewed for facility discharge and had the potential to affect all 109 residents residing in the facility. The facility census was 109. Findings include: Review of the closed medical record revealed Resident #10 was admitted to the facility on [DATE] and discharged on [DATE]. […]