Perry Green Valley Nursing Center, LLC

In the surveyor’s words

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

• Actual harm, patternF688Apr 29, 2021

  Based on observation, interview and record review, it was determined the facility failed to ensure a resident did not experience an avoidable decrease in range of motion which led to contractures of both hands for one (#3) of three sampled residents whose records were reviewed for contractures and a decline in range of motion. This resulted in an actual harm to the resident. The resident experiencing bilateral hand contractures and a decline in the ability to feed herself and a pressure ulcer in the palm of her left hand. […]

• Actual harm, isolatedF689May 30, 2025

  Based on record review and interview, the facility failed to ensure a resident did not slide from a wheelchair onto the floor of a facility vehicle while being transported for 1 (#1) of 3 sampled residents reviewed for accident hazards. The administrator stated 61 residents resided at the facility. Findings: A facility policy titled Driving and Motor Vehicle Policy, dated 06/23/14, read in part, Driver is responsible for the safety of all passengers while providing transportation to persons to and from designated locations. If at any time the driver feels he/she is in an unsafe situation for the passenger or the vehicle, driver will have the right to exercise judgment to stop vehicle. […]

• No harm, potential for more than minimal, patternF689Nov 6, 2024

  Based on observation and interview, the facility failed to ensure chemicals were secured for three of five halls observed. The DON identified five halls in which residents resided. Findings: On 11/04/24 at 11:39 a.m., the utility room door on hall eight was observed to be unlocked. A bottle of bleach was observed in the unlocked utility room. LPN #4 stated the door was to be closed and locked due to chemicals. On 11/04/24 at 2:44 p.m., a can of disinfectant spray and a tube of Calmoseptine was observed to be unattended on hall seven by the shower room. The disinfectant spray label documented to store the product in an area inaccessible to small children. The Calmoseptine label was observed to document to keep out of reach of children. The door to the shower room was observed to be open. […]

• No harm, potential for more than minimal, patternF700Nov 6, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents were assessed for the use of bed rails prior to installation for four (#17, 30, 115, and #55) of four sampled residents who were reviewed for bed rails. The DON identified 24 residents who utilized bed rails. Findings: 1. Resident #17 had diagnoses which included Parkinson's disease. A physician order, dated 11/02/23, documented half side rails bilaterally for bed mobility. The Care Plan, dated 10/03/24, read in part, 1/2 side rails bilat upper bed for self repositioning. On 11/04/24 at 11:35 a.m., Resident #17's bed was observed to contain half side rails bilaterally. Review of the electronic clinical record did not reveal a consent had been completed for the use of bed rails. 2. […]

• No harm, potential for more than minimal, patternF809Nov 6, 2024

  Based on observation, record review, and interview, the facility failed to ensure residents were offered snacks for one (bedtime) of one snack time observed. The DON identified 63 residents who received nourishment from the kitchen. Findings: The undated Resident Meals/Snacks policy, read in part, Staff will pass out optional snacks to residents in-between meals. Residents may also request snacks or simple meals (soups, sandwich, etc.) after dining room hours. On 11/05/24 at 1:37 p.m., seven residents in the resident council meeting stated they were not offered bedtime snacks. On 11/05/24 at 8:04 p.m., the dietary staff were observed in the kitchen. […]