North Valley Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF550Mar 28, 2025

  Based on observation, interview, and record review, the facility failed to protect, promote, and honor one of three sampled residents (Resident 23) right of not receiving cardiopulmonary resuscitation (CPR - emergency measures including manual chest compressions and rescue breaths to revive a person when breathing or heartbeat has stopped) measures as indicated in the Physician Orders for Life-Sustaining Treatment (POLST - a form that contains written medical orders for end-of life decisions communicated by a resident able to make informed decisions and if unable, by the resident's representative), dated [DATE]. Resident 23's POLST indicated Do Not Resuscitate (DNR- a medical order written by a doctor to instruct health care providers not to do CPR) instructing staff not to do CPR. […]

• Immediate jeopardy, isolatedF600Sep 15, 2023

  Based on interview and record review, the facility failed to protect the resident ' s right to be free from neglect (the failure to provide goods and services necessary to avoid physical harm, pain, mental anguish, or emotional distress) for one of three sampled residents (Resident 1), when the facility discharged Resident 1, who required continuous supplemental oxygen (therapy that helps people with lung disease or breathing problems get the oxygen [a colorless, odorless gas, an essential component of air] their bodies needs to function), to Family Member 1 ' s (FM 1) home on 9/6/2023 without durable medical equipment (DME- equipment and supplies ordered by healthcare provider for everyday use which include supplemental oxygen equipment [medical device that gives resident ' s extra… […]

• Immediate jeopardy, isolatedF624Sep 15, 2023

  Based on interview and record review, the facility failed to ensure a safe and orderly discharge was provided to one of three sampled residents (Resident 1) who required the need for continuous supplemental oxygen (therapy that helps people with lung disease or breathing problems get the oxygen [a colorless, odorless gas, an essential component of air] their bodies need to function) by: 1. Failing to ensure that Resident 1 and Family Member 1 (FM 1) were provided durable medical equipment (DME- equipment and supplies ordered by healthcare provider for everyday use which includes supplemental oxygen equipment [medical device that gives resident ' s extra oxygen] and front wheel walker [FWW - a device that helps with walking and lowers the risk for falls]) prior to discharging resident home. […]

• Immediate jeopardy, isolatedF660Sep 15, 2023

  Based on interview and record review, the facility failed to ensure an effective discharge plan to meet the health and safety need was provided to one of three sampled residents (Resident 1) by: 1. Failing to ensure that Resident 1 and Family Member 1 (FM 1) were provided durable medical equipment (DME- equipment and supplies ordered by healthcare provider for everyday use which includes supplemental oxygen equipment [medical device that gives resident ' s extra oxygen] and front wheel walker [FWW - a device that helps with walking and lowers the risk for falls]) prior to discharging resident home. 2. […]

• Immediate jeopardy, isolatedF600Aug 25, 2023

  Based on interview and record review, the facility failed to protect the resident ' s right to be free from neglect (the failure to provide goods and services necessary to avoid physical harm, pain, mental anguish, or emotional distress) for one of three sampled residents (Resident 1) by: 1. Failing to ensure Certified Nursing Assistant 1 (CNA 1), Resident 1 ' s assigned one-to-one sitter (one staff remains with one resident at all times to prevent elopement [leaving the facility without notice or permission]), did not leave Resident 1 unsupervised on 8/20/2023. 2. Failing to ensure CNA 1 followed the facility policy and procedures to call a code grey (code used in the facility to alert all staff that a resident is missing) when CNA 1 first discovered Resident 1 missing on 8/20/2023. 3. […]