Pleasant Valley Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812May 7, 2026

  Based on observation and staff interviews the facility failed to distribute and serve food in accordance with professional standards for food service safety. The facility did not ensure all equipment used for meal deliveries was clean. This was a random opportunity for discovery and had the potential to affect more than a limited number of residents. Facility census: 99.Findings included: A) Review of policy for Equipment Policy Statement : All food service equipment will be clean, sanitary, and in proper working order. Procedures read in part: 2. All staff members will be properly trained in the cleaning and maintenance of all equipment. 4. […]

• No harm, potential for more than minimal, patternF607Nov 9, 2022

  Based on record review and staff interview, the facility failed to implement their Abuse Prohibition policy by failing to report all allegations of neglect to appropriate state agencies as required. Resident #398, #399, #8 and #11 made allegations of neglect at the same time regarding Nurse Aide (NA) #73 nor providing care to them when requested. These allegations of neglect were not reported to the appropriate state agencies as required by the facility's policy. This was true for four (4) of five (5) residents reviewed for the care area of abuse during the long term care survey process. Resident identifiers: #398, #399, #8, and #11. Facility census: 97. […]

• No harm, potential for more than minimal, patternF609Nov 9, 2022

  Based on record review and staff interview, the facility failed to report all allegations of neglect to appropriate state agencies as required. Resident #398, #399, #8 and #11 made allegations of neglect at the same time regarding Nurse Aide (NA) #73 not providing care to them when requested. These allegations of neglect were not reported to the appropriate state agencies as required. In addition, an incident of resident to resident altercation involving Resident #81 abuse was not reported to appropriate state agencies as required. This was true for five (5) of five (5) residents reviewed for the care area of abuse during the long term care survey process. Resident Identifiers: #398, #399, #8, #11 and #81. Facility Census: 97. […]

• No harm, potential for more than minimal, patternF756Nov 9, 2022

  Based on record review, policy review, and staff interview, the facility failed to develop and implement a Medication Regimen Review (MRR) policy that accurately addressed the time frames for steps in the MRR process. The facility also failed to ensure monthly pharmacy medication reviews were completed by the consulting pharmacist. This was true for four (4) out five (5) residents reviewed for unnecessary medications. Resident identifiers: #6, #20, #90, and #41. Facility census: 97. Findings included: a) Resident #6 A record review, completed on 11/08/22 at 4:23 PM, found there was no Medication Regimen Review (MRR) in the record for the month of August 2022. […]

• No harm, potential for more than minimal, patternF847Nov 9, 2022

  Based on staff interview, resident interview, and record review, the facility failed to ensure facility staff, responsible for presenting the binding arbitration agreements to residents/responsible parties could explain the nature and implications of the proposed binding arbitration agreement to inform their decision on whether or not to enter into such agreements. This had the potential to affect more than a limited number of residents at the facility. Resident identifiers: #87, #248, #2. Facility census: 97. Findings included: a) Resident Council meeting At 1:30 PM on 11/08/22, the resident council meeting was held. […]