Park Valley Inn Health Center

In the surveyor’s words

From the most serious findings on record at Park Valley Inn Health Center, in the surveyor’s own words.

• Immediate jeopardy, patternF684Jun 29, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (R#1) of 7 residents reviewed for falls. The facility failed to notify the NP from 6/12/26 through 6/14/26 when R#1's head injury worsened after her two incidents [PH1.1][SB1.2]on 6/11/26. R#1 was sent to the hospital on 6/15/26, diagnosed with traumatic subarachnoid hemorrhage and required care in the ICU. The facility failed to follow R#1's hospital discharge orders of discontinuing her Ticagrelor [PH2.1][SB2.2]when she returned to the facility on 6/18/26. […]

• Immediate jeopardy, patternF880Jan 18, 2025

  Intake #557738 Based on observations, interviews, and record review, the facility failed to provide a safe and sanitary environment to prevent the development and transmission of communicable diseases and infections for 7 of 29 residents (Resident #1, Resident #17, Resident #68, Resident #39, Resident #80, Resident #159, Resident #21) reviewed for infection control. 1.The facility failed to test all residents who had flu like symptoms. 2. The facility failed to put place residents on quarantine or droplet precautions when indicated. An IJ was identified on 01/15/25 at 4:45 pm. The IJ template was provided to the facility on [DATE] at 7:15 pm. The plan of removal was accepted on 01/17/25 4:52 pm. […]

• Immediate jeopardy, isolatedF689Jan 18, 2025

  Based on observation, interview, and record review the facility failed to ensure residents environment remained free of accident and hazards to prevent avoidable accidents for 1 (Resident #28) of 1 resident reviewed for safe transfers. The facility failed to ensure mechanical lift #1 was removed from the floor after it was deemed out of order on 01/03/2025. The facility failed to ensure mechanical lift #2 was in working order prior to Resident #28's transfer. The mechanical lift fell on top of Resident #28 and Resident #28 fell to the floor from the lift which resulted in Resident #28 being transferred to the ER to be treated for a lumbar fracture and hemorrhage on 01/03/2025. These failures resulted in an identification of an Immediate Jeopardy (IJ) on 01/15/2025 at 6:15 PM. […]

• Immediate jeopardy, isolatedF684Dec 10, 2024

  Based on interview and record review, the facility failed to ensure based on the comprehensive assessment of a resident, that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of five residents reviewed for quality of care. The facility failed to ensure LVN A documented Resident #1's unwitnessed fall, conducted neuros, and informed the oncoming nurse on 11/28/24. The aides continued to notify the nurses of Resident #1's pain and was not sent to the ER until the late evening on 11/29/24, where she was diagnosed with a hip fracture. The noncompliance was identified as PNC. The IJ began on 11/28/24 and ended on 12/05/24. […]

• Immediate jeopardy, isolatedF600Sep 21, 2021

  Based on interview and record review, the facility failed to ensure one (Resident #1) of one resident reviewed was free from abuse when they failed to provide goods and services that were necessary to avoid physical harm, pain, mental anguish, or emotional distress as evidenced by: The facility failed to follow their own discharge policy when they locked Resident #1 out of the building after he left on a day pass resulting in Resident# 1 not being able to get back into his home where he had lived in for 2 years. He did not have shelter, food, and medication for approximately 15 hours. Resident #1 was anxious and upset. He mental anguish was evidenced by his repeated attempts to break the door and glass into his home. […]