Medina Valley Health & Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Feb 28, 2022

  Based on interview and record review, the facility failed to ensure that each resident received adequate supervision to prevent elopement for 1 of 11 residents (Resident #1) reviewed for accident hazards and supervision. The facility failed to ensure Resident #1 was being supervised during the overnight shift resulting in the resident eloping from the facility. The resident was found 2 days later. Resident #1 went 2 days without his medication, was out in the cold, and was sent for ER evaluation when found. This was determined to be an Immediate Jeopardy at Past Non-Compliance from [DATE] until [DATE], due to the facility having implemented actions that corrected the non-compliance prior to the beginning of the survey. […]

• No harm, potential for more than minimal, widespreadF812Jul 29, 2022

  Based on observation, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen, in that: Chemical test logs were not recorded or maintained for 1 of 1 upright, chemical spray-type dishwasher used for sanitizing dishes used for resident use. These deficient practices could place residents who received meals and/or snacks from the kitchen at risk for food borne illness. The findings were: In an observation and interview on 07/26/2022 at 9:42 AM, Dishwasher A stated she completes a chlorine strip test once at the beginning of her shift and once at the end but does not record it or write it anywhere. […]

• No harm, potential for more than minimal, patternF641Feb 27, 2026

  Based on interview and record review, the facility failed to ensure the resident assessment accurately reflected the resident's status for 4 of 6 residents (Resident #3, Resident #4, Resident #41, and Resident #42) who were reviewed for resident assessments. 1. The facility failed to document Resident #4's use of anticonvulsant medication on the quarterly MDS assessment. 2. The facility failed to document Resident #41's use of diuretic medication on the annual MDS assessment.3. The facility failed to document Resident #3's admission to hospice services on the Significant Change Assessment.4. The facility failed to document Resident #42's hospice services on her last quarterly MDS assessment. […]

• No harm, potential for more than minimal, patternF880Feb 27, 2026

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 2 of 16 residents (Resident #21 and Resident #91) reviewed for infection control: 1. The facility failed to ensure CNA D and CNA E wore a PPE gown during incontinent care for Resident #21 who was on EBP. 2. The facility failed to ensure CNA D did not touch a clean brief with dirty gloves during incontinent care for Resident #21. 3. The facility failed to ensure LVN F cleaned the rubber hub of an insulin pen prior to placing a needle cap on the pen and administering it to Resident #91. 4. […]

• No harm, potential for more than minimal, patternF812Nov 15, 2024

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen, reviewed for kitchen sanitation. 1. The facility failed to ensure that sanitizing buckets were not near containers of food. 2. The facility failed to discard expired flour. 3. The ice machine had an unknown black substance inside the top of the machine. 4. The dishwasher sanitation log was not completed for several days and had an expired bottle of test strips. […]