Protection Valley Manor

In the surveyor’s words

From the most serious findings on record at Protection Valley Manor, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 1, 2025

  The facility reported a census of 41 residents with one resident sampled for accident hazards. Based on observation, interview, and record review, the facility failed to ensure operational door locks, alarms, and supervision for cognitively impaired Resident (R) 1, a resident at high risk for elopement (when a cognitively impaired resident leaves the facility without the knowledge or supervision of staff) to prevent an elopement. On 06/04/25 at 07:29 PM, R1 exited the facility without staff knowledge or supervision through an unlocked front door. The door was typically locked but the door lock override was implemented, leaving the door unsecured and the alarm disabled. An off-duty staff member observed R1 walking outside, approximately two blocks away from the facility. […]

• No harm, potential for more than minimal, widespreadF812Mar 16, 2023

  The facility reported a census of 42 residents. Based on observation, interview, and record review, the facility failed to provide sanitary food preparation, storage and serving to prevent the spread of food borne illness to the residents of the facility. Findings included: - The initial environmental tour of the kitchen, on [DATE] at 08:02 AM with Dietary Staff BB, revealed the following items/areas of concerns: 1. The ice machine lacked a two-inch air gap between the drainpipe and the municipal discharge drain. 2. There were 12 stacks of dishes, each approximately 16 inches high, stored on the bottom shelf of a wire rack, approximately eight to 10 inches from the floor, with eating surfaces exposed. The stacks of dishes lacked a covering to protect them from dust or other contamination. […]

• No harm, potential for more than minimal, patternF812Mar 5, 2025

  The facility reported a census of 40 residents. Based on observation, interview, and record review, the facility failed to store, prepare, and serve food in a sanitary manner to prevent possible food-borne illness to the residents of the facility. Findings included: - On 03/03/25 at 10:44 AM during an initial tour of the main kitchen, refrigerator and dry food storage areas with Dietary Manager DD, the following areas of concern were observed: One unsealed/open box of outshine popsicles with an expiration date of 5/31/24 in snack freezer. One ten pound-bag of hamburger dethawing dated 2/23/24 in walk in freezer. On 03/03/25 at 10:36 AM, an interview with Dietary Manager DD revealed she expected staff to label, and date opened food items. Dietary Manager DD confrimed the concerns. […]

• No harm, potential for more than minimal, patternF689Aug 30, 2021

  The facility census totaled 39 residents. Based on observation, interview, and record review the facility failed to provide residents with a safe environment by the failure to secure dangerous chemicals in a locked place, inaccessible to the eight cognitively impaired, independently mobile residents living in the facility. Findings included: - Observation on 08/24/21 at 01:59 PM of the unlocked and open public bathroom, accessible to all residents, revealed a container on the counter identified as Di-Cide Ultra Wipes. Upon closer inspection, the Di-Cide Ultra Wipes container label noted to Keep Out of Reach of Children with warnings the wipes could cause severe eye injury. […]

• No harm, potential for more than minimal, isolatedF880Mar 5, 2025

  The facility identified a census of 40 residents. The sample included 12 residents. The facility identified residents on Enhanced Barrier Precautions (EBP-infection control interventions designed to reduce transmission of resistant organisms that employ targeted gown and glove use during high contact care). Based on record review, observations, and interviews, the facility failed to ensure the EBP residents were identified for staff and visitors. Further the facility failed to ensure staff used appropriate hand hygiene between glove changes and to follow infections for trends. These deficient practices placed the residents at risk for infectious diseases. Findings included: - On 03/03/25 at 11:02 AM, observation of Certified Nurse Aide (CNA) M and CNA O provided care for Resident (R) 8. […]