Paradise Valley Health Care

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Dec 21, 2023

  Based on interview and facility document and policy review, the facility failed to ensure their water management plan was fully implemented to prevent the potential for waterborne illnesses, including Legionella (a bacteria most commonly transmitted through contaminated water sources that could cause Legionnaires' disease). This failure had the potential to affect all 81 residents residing in the facility. Findings included: A review of the facility's policy titled, Legionella Water Management Program, revised in September 2022, revealed, Our facility is committed to the prevention, detection and control of water-borne contaminants, including Legionella. The Policy Interpretation and Implementation section specified, 1. […]

• No harm, potential for more than minimal, patternF812Dec 21, 2023

  Based on observation, interview, and facility policy review, the facility failed to ensure food was covered to prevent potential contamination during meal delivery to resident rooms. Specifically, the facility failed to ensure food was covered during meal delivery to resident rooms located on 1 (second floor) of 3 residential floors. This deficient practice had the potential to affect 29 residents who consumed their meals on the second floor of the facility. Findings included: A review of a facility policy titled, Food Preparation and Service, revised in November 2022, revealed, When meals are assembled in the kitchen and then delivered to residents' rooms or dining areas to be distributed, covering foods is appropriate, either individually or in a mobile food cart. […]

• No harm, potential for more than minimal, patternF880May 7, 2021

  Based on observation, interview, and record review, the facility failed to follow proper infection control practice when: 1. Two Certified Nurse Assistants (CNA 70, 71) entered, and exited the PUI isolation rooms (Person Under Investigation for COVID-19 [a contagious respiratory infection]) without performing hand hygiene, not wearing gloves and gowns while handling and passing meal trays in between residents. 2. The facility placed in the same room, residents that were considered PUI and residents that have been cleared and had completed quarantine days (a period of isolation). These failures had the potential to spread infection amongst the residents, staff, and visitors. […]

• No harm, potential for more than minimal, isolatedF656Jan 8, 2026

  Based on observation, interview and record review the facility failed to develop and implement an appropriate care plan and admission orders to ensure safety interventions were in place, including maintaining non-weightbearing (NWB) status and keeping the immobilizer/splint on at all times, for one of three sampled residents (Resident 1).This deficient practiced placed Resident 1 at risk for worsening of the right lower extremity (RLE) fracture, delayed healing, increased pain, falls and additional injury due to not having proper instructions and interventions in place. […]

• No harm, potential for more than minimal, isolatedF684Jan 8, 2026

  Based on observation, interview and record review the facility failed to follow physician (MD) orders and failed to put safety measures in place to prevent injury, for one of three sampled residents (Resident 1).This deficient practice placed one resident (Resident 1) at risk for worsening of a fracture, unsafe movement of the injured limb, potential accidents (falls)and additional injury due to failure to carry out non-weight bearing (NWB) and continuous immobilizer orders.Cross Reference F656Findings:A review of Resident 1's admission Record indicated Resident 1 was admitted to the facility on [DATE] with diagnoses which included history of Periprosthetic Fracture around Internal Prosthetic Right Knee Joint (a break in the bone surrounding the replaced joint).A record review of Resident… […]