Pleasant Valley Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Aug 20, 2024

  On 08/16/24 at 9:35 a.m., the Oklahoma State Department of Health identified the presence of an immediate jeopardy related to the facility failed to evaluate Residents #51 and #18 for the capacity to consent to sexual activity. Resident #18 had known sexually inappropriate behaviors and there was no evidence the facility identified these events as sexual abuse or evaluated the resident's capacity to consent. A Progress Note, dated 06/21/24 at 7:16 p.m., documented Resident #51 was observed with their legs opened and Resident #18 was sitting in front of Resident #51, rubbing on Resident #51's vagina. The nurse told the residents they could not do that. […]

• Actual harm, isolatedF580Mar 29, 2022

  Based on record review and interview, the facility failed to notify the physician of a resident change in condition for one (#67) of four residents who were reviewed for respiratory monitoring. The ''Resident Census and Conditions of Residents report documented 66 residents resided in the facility. Findings: Resident (Res) #67 was admitted to the facility on [DATE] and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A physician order, dated [DATE], documented the resident was to receive [MEDICATION(S)] nebulization solution every six hours as needed for wheezing. The treatment administration record (TAR) for [DATE] did not document [MEDICATION(S)] nebulization had been administered for wheezing at any time in [DATE]. […]

• Actual harm, isolatedF695Mar 29, 2022

  Based on record review and interview, the facility failed to provide respiratory care and monitoring for one (#67) of three residents sampled for respiratory care. The facility failed to: a. conduct thorough respiratory assessments. b. provide physician ordered respiratory treatments as needed. c. notify the physician of a change in condition. The ''Resident Census and Conditions of Residents'' report documented 66 residents resided in the facility. Findings: Resident (Res) #67 was admitted to the facility on [DATE] and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A physician order, dated [DATE], documented the resident was to receive [MEDICATION(S)] nebulization solution every six hours as needed for wheezing. […]

• Actual harm, isolatedF770Mar 29, 2022

  Based on record review and interview, the facility failed to provide or obtain lab services to meet the needs of the residents in a timely manner for two (#61 and #67) of two residents reviewed for laboratory services. The facility failed to provide lab services which were ordered as STAT on the weekends. The Resident Census and Conditions of Residents form documented 66 residents resided in the facility. Findings: 1. Resident (Res) #61 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A care plan, dated [DATE], documented Res #61's basic needs would be met by the staff through the review date. The care plan did not address the issues surrounding the anticoagulant use. […]

• No harm, potential for more than minimal, widespreadF812Jul 18, 2023

  Based on observation and interview, the facility failed to ensure food was stored in a sanitary manner and dishes were dried completely before storing them. The Resident Census and Conditions of Residents form documented 81 residents resided in the facility. Findings: On 07/12/23 at 11:44 a.m., an initial tour of the kitchen was conducted. The following were observed: a. A scoop was observed stored in a large container which was filled with flour. b. Condensation was on plastic containers which were stacked on a shelf. On 07/12/23 at 11:49 a.m., the DM stated scoops should never be left inside any container which stored food. The DM stated the plastic containers should not have been stacked while drying. […]