Mon Valley Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF658Aug 13, 2026

  Based on review of facility policies, job descriptions, clinical records, and staff interviews, it was determined that the facility failed to adhere to acceptable standards of practice related to participation in interdisciplinary meetings, monitoring of Food Service operations, resident interviews, and participation in the Quality Assurance and Performance Improvement (QAPI), by the Registered Dietitian. Findings include: The Pennsylvania Code, Title 49, Chapter 21, Professional and Vocational Standards: Responsibilities of the Licensed Dietitian/ Nutritionist Section 21.711 Professional Conduct indicated that the Licensed Dietitian/ Nutritionist shall provide information which will enable patients to make their own informed decisions regarding nutrition and dietetic therapy, including… […]

• No harm, potential for more than minimal, widespreadF919Dec 3, 2025

  Based on a review of facility policy, observations, and staff interview, it was determined the facility failed to maintain a fully functioning resident call bell system that allows residents to call for staff assistance through a communication system on one of one nursing units (second floor nursing unit). Findings include: Review of the facility policy Call Light dated 4/14/25, indicated, residents will have a call light or a bell to allow patients to call for assistance. If call bell is defective, it is reported immediately. During an observation on 10/8/25 at 9:43 a.m. […]

• No harm, potential for more than minimal, widespreadF812Jun 17, 2024

  Based on observation and staff interview, it was determined that the facility failed to maintain acceptable practices for the storage of food to prevent the potential for contamination and potential for microbial growth in food, which increased the risk of food-borne illness in the main kitchen. Findings include: During an observation on 5/15/24, from 8:46 a.m., through 8:52 a.m., the fans of the walk in cooler had a black fuzzy material throughout the fans and on the ceiling with a cart of several trays of food being stored underneath. […]

• No harm, potential for more than minimal, widespreadF880Jun 17, 2024

  Based on review of facility policy, water testing logs and staff interview, it was determined that the facility failed to implement an effective Water Management Program for the prevention and control of water-borne contaminants, such as Legionella (a bacteria that may cause Legionnaires' Disease, a serious type of pneumonia) and the facility failed to provide proper infection control practices during a dressing change for one of two residents (Resident R2). Findings include: Review of facility provided documents indicated that the facility does not currently have a Water Management Program. Review of the facility policy Wound Care last reviewed on 3/24, indicated that steps indicated cleaning of the resident's overbed table with placing items used for the procedure on a clean field. […]

• No harm, potential for more than minimal, patternF553Feb 27, 2026

  Based on review of facility policy, clinical records and staff interviews, it was determined that the facility failed to document the invitation of the resident or their representative to care conference meetings for two of five residents (Resident R1 and R2).Findings include: Review of the facility policy, Care Planning - Interdisciplinary Team dated 4/14/25, indicated, The resident, the resident's family and/or the resident's legal representative/guardian or surrogate are encouraged to participate in the development of and revisions to the resident's care plan. […]