Prescott Valley Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Prescott Valley Nursing & Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 11, 2025

  Based on observation, interviews, review of clinical record, and facility policy, the facility failed to ensure adequate supervision consistent with the resident's needs was provided to one resident (#3) to prevent an accident of spilling a hot liquid beverage. The deficient practice resulted in the resident sustaining a burn.-Findings include:Resident #3 was admitted to the facility May 31, 2025, with diagnoses of encephalopathy, attention and concentration deficit, cognitive communication deficit, frontal lobe and executive function deficit, weakness, and Alzheimer's disease.A brief interview for mental status (BIMS) assessment dated [DATE] revealed the resident had a score of 2, indicating severe cognitive impairment.The General Progress note dated May 31, 2025, revealed Resident #3… […]

• No harm, potential for more than minimal, patternF583Aug 19, 2025

  Number of residents sampled: 21Number of residents cited: 17The facility failed to ensure residents right to personal privacy and confidentiality of his or her medical recordsBased on record review, staff interviews, review of facility documentation and policy, the facility failed to protect residents' right to personal privacy and confidentiality of his or her personal and medical records. The deficient practice could result in an unauthorized access to residents' personal and medical records.Findings include:During a medication administration observation task on August 19, 2025 starting at 4:09 AM with Licensed Practical Nurse (LPN)/Staff #94, Staff #94 administered Hydromorphone 4 MG (milligram) two tablets by mouth as ordered for pain for Resident #67. […]

• No harm, potential for more than minimal, patternF628Aug 19, 2025

  Based on record review, staff interviews, review of facility documentation and policy, the facility failed to provide a written notice notifying one resident (#71 and #73) upon transfer to an acute care hospital setting of the bed hold which specifies the duration of bed-hold including reserve payment, and the facility failed to send notification of transfer of discharged residents to the representative of the Office of the State Long-Term Care Ombudsman. Findings include: -Regarding Resident #71: Resident #71 was admitted to the facility on [DATE]. Review of Resident #71 Minimum Data Set (MDS) admission assessment dated [DATE] revealed a Brief Interview of Mental Status (BIMS) score of 15.0, cognitively intact. […]

• No harm, potential for more than minimal, patternF645Aug 19, 2025

  Based on clinical record review, staff interviews, facility documentation and policy review, the facility failed to ensure 7 residents (#1, #7, #49, #2, #25 and #18 were) with diagnosis of serious mental illness were referred for PASARR (Pre-admission and Resident Review) Level II evaluation. The deficient practice could result in residents not receiving the services according to their assessed needs.Findings include: -Resident #1 was admitted on [DATE] with diagnosis of schizoaffective disorder, bipolar type. The PASARR Level I screening dated April 29, 2025 revealed that the resident met the criteria for 30 day Convalescent Care. SMI (serious mental illness) included schizoaffective disorder and bipolar disorder. […]

• No harm, potential for more than minimal, patternF684Aug 19, 2025

  Based on clinical record review, staff interviews and review of facility policy, the facility failed to ensure medications were administered following the parameter set for 2 of 5 sampled residents (#2 and #52). The deficient practice could result in resident not receiving the appropriate treatment they need. Findings include:-Resident #2 was admitted on [DATE] with diagnoses of mild dementia with other behavioral disturbance, age-related osteoporosis with current pathological fracture, major depressive disorder and low back pain.A physician orders dated April 28, 2025 included for Hydrocodone-Acetaminophen (opioid) 5-325 mg 1 tablet by mouth every 6 hours PRN for pain 6/10 not to exceed 3 grams/24 hours and pain assessment every shift using PAINAD (Pain Assessment in Advanced Dementia) or… […]