Mid-Valley Health Care Center

In the surveyor’s words

From the most serious findings on record at Mid-Valley Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF686Oct 18, 2024

  Based on a review of clinical records and staff and resident interviews it was determined the facility failed to develop and implement care and services, consistent with professional standards of practice, to prevent pressure ulcer development for one resident (Resident 89) and failed to assess and monitor facility acquired pressure injuries for two residents out of 14 sampled (Residents 18, and 8). Findings included: According to the US Department of Health and Human Services, Agency for Healthcare Research & Quality, the pressure ulcer best practice bundle incorporates three critical components in preventing pressure ulcers: Comprehensive skin assessment, Standardized pressure ulcer risk assessment and care planning and implementation to address the areas of risk. […]

• Actual harm, isolatedF686Jan 17, 2024

  Based on review of clinical records and select reports and staff interviews it was determined that the facility failed to consistently monitor a resident's skin integrity during use of a therapeutic device to prevent the development of multiple unstageable pressure sores and a Stage II pressure sore, for one resident (Resident 1) and failed to provide timely and necessary care to prevent the development of bilateral heel pressure sores, deep tissue injuries, for one resident (Resident 2) at risk for pressure sores out of three residents sampled. […]

• Actual harm, isolatedF689Feb 3, 2022

  Based on a review of clinical records, select facility policy and fall reports and staff interview it was determined that the facility failed to consistently implement planned fall prevention interventions developed for a resident identified at risk for falls to prevent a fall resulting in multiple fractures, serious head injury and lacerations for one residents out of 12 sampled (Resident 84). Findings included: Review of the facility's policy, entitled Fall Prevention and Management Policy last reviewed by the facility June 2021, indicated that it is the facility policy to assess residents for fall risk(s) on admission, quarterly, after any fall, and as needed. If risks are identified, preventive measures will be put in place and care planned. […]

• No harm, potential for more than minimal, widespreadF812Mar 25, 2021

  Based on observation and staff interview, it was determined that the facility failed to maintain acceptable practices for the storage and service of food to prevent the potential for contamination and microbial growth in food, which increased the risk of food-borne illness. Findings include: Food safety and inspection standards for safe food handling indicate that everything that comes in contact with food must be kept clean and food that is mishandled can lead to foodborne illness. Safe steps in food handling, cooking, and storage are essential in preventing foodborne illness. You cannot always see, smell, or taste harmful bacteria that may cause illness according to the USDA (The United States Department of Agriculture, also known as the Agriculture Department, is the U.S. […]

• No harm, potential for more than minimal, patternF838Aug 28, 2025

  Based on review of the facility's written facility assessment, staff interviews, professional standards, and facility documentation, it was determined the facility failed to conduct and document a comprehensive, evidence-based facility assessment to ensure licensed nursing staff possessed the required training and competencies necessary to provide care and services for residents requiring intravenous (IV) therapy through peripherally inserted central catheters (PICCs) or other central venous access devices. […]