North Valley Hospital

In the surveyor’s words

From the most serious findings on record at North Valley Hospital, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 8, 2023

  Based on observation, interview, and record review, the facility failed to implement measures to prevent skin breakdown, for a resident at risk for skin breakdown, for 1 of 3 sample residents (1), reviewed for pressure ulcers. This failure resulted in actual harm for Resident 1, who developed an avoidable unstageable pressure ulcer (the depth of the open area cannot be visualized) on the back of their lower right calf. Findings included . According to a quarterly assessment dated [DATE], Resident 1 was severely cognitively impaired and required the extensive assistance of one to two people with all of their activities of daily living, including repositioning in bed. […]

• No harm, potential for more than minimal, widespreadF812Nov 16, 2024

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety. Failure to ensure expired foods were discarded for 3 of 3 refrigerators, 1 of 1 dry storage areas, opened dates were placed on food items in the refrigerator and freezer and performed hand hygiene when indicated. The facility further failed to consistently monitor refrigerator and dish washer temperatures. These failures placed residents at risk for food-borne illnesses. Findings included . […]

• No harm, potential for more than minimal, widespreadF921Nov 16, 2024

  Based on observation and interview the facility failed to ensure damaged paint and drywall was repaired timely after a water leak in 1 of 3 halls, reviewed for environment. In addition, the facility failed to ensure hazardous chemicals were secured in 1 shower room. This failure placed residents at risk of potentially avoidable accidents, lack of dignity and diminished quality of life. Findings included . <Shower Rooms> During an observation on 11/12/2024 at 1:42 PM, the shower room on the east hall was unlocked. The shower room had an unlocked cabinet that was at eye level. The cabinet contained two bottles of disinfectant cleansers that said to keep out of reach of children. A similar observation was made at 3:37 PM, the same day. There were no residents wandering or near the area. […]

• No harm, potential for more than minimal, widespreadF880Aug 24, 2021

  Based on interview and record review, the facility failed to timely recognize, contain, and report a gastrointestinal (GI) outbreak among nine sample residents (4, 5, 6, 7, 8, 9, 10, 11, 12) and 10 staff (B, C, D, E, F, G, H, I , J, K). This failed practice placed all residents in the facility (census 34) at risk of spread of a communicable disease. Findings included . Review of an Acute Gastroenteritis Surveillance Line List dated 07/28/2021 showed nine residents and ten staff were identified as having signs and symptoms of a GI outbreak (nausea, vomiting, diarrhea, abdominal pain, fever and/or fatigue) between the dates of 07/18/2021 and 07/29/2021. Additionally, the Line List showed Staff D, Nursing Assistant, had GI symptoms from 07/21/2021 to 07/23/2021. […]

• No harm, potential for more than minimal, widespreadF880Jul 1, 2021

  Based on observation, interview, and record review, the facility failed to ensure infection control interventions intended to mitigate the risk for spread of SARVS-CoV-2 (a virus which causes COVID-19 infections) were followed for all residents. Failure to ensure current guidance related to the use of face coverings was implemented placed all residents at risk for exposure to an infectious disease. Findings included . Upon entry to the facility on [DATE] at 8:50 AM, Staff A, Director of Nursing, informed the survey team there were no known COVID-19 positive residents in the building, and no staff were currently positive for COVID-19. The resident census was 34. […]