Pruitthealth - Spring Valley

In the surveyor’s words

From the most serious findings on record at Pruitthealth - Spring Valley, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Oct 20, 2022

  Based on observations, interviews, and policy review, the facility failed to maintain an effective Infection Control Program to prevent the spread of infections by not ensuring staff wore appropriate personal protective equipment (PPE) when sorting soiled laundry; clean lift slings and mop heads were hung to air dry in the dirty area of the laundry area; air flow was impeded from the dirty to the clean laundry areas. The census was 51. Findings include: Review of the policy titled Infection Control - Linen and Laundry, revised 4/2/20 revealed the policy of all [name] Healthcare Centers to implement and adhere to this policy to mitigate or decrease infections caused by sources of microbial contamination through collection, handling, sorting, transportation, processing, and storage of… […]

• No harm, potential for more than minimal, isolatedF580Jan 7, 2024

  Based on staff interview and record review, the facility failed to notify the family/health agent of a significant change related to weight loss for one of 21 sampled Residents (R) (R155). Findings Include: Review of R155's Vital Results revealed his weight on 4/6/2023 was 204.6 lbs. (pounds) and on 4/18/2023 was 193 lbs. which indicated he had lost 11 pounds (5.67 percent) within a two-week period. Review of the facility's Situation, Background, Assessment and Recommendation (SBAR) form indicated that the family/health agent should be notified if the resident experienced a change in condition. Review of R155's medical records revealed there was no evidence that the family/health agent had been notified or that a SBAR form had been completed related to his significant weight loss. […]

• No harm, potential for more than minimal, isolatedF641Jan 7, 2024

  Based on staff interview, record review, and review of the facility's policy titled, MDS Assessment Accuracy, the facility failed to ensure two of 21 Residents (R) (R155 and R31) were accurately assessed on the Minimum Data Set (MDS) assessments related to significant weight loss. Findings Include: A review of the facility policy, MDS Assessment Accuracy, dated 12/6/2022, Policy Statement revealed, It is the policy of this healthcare center that each Minimum Data Set (MDS) reflect the acuity and the medical status of each patient/resident in accordance with acceptable professional standards and practices. The assessments would be scheduled to accurately account for the acuity and complexity of the patient/resident . 1. […]

• No harm, potential for more than minimal, isolatedF656Jan 7, 2024

  Based on observations, staff interviews, record review, and review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, the facility failed to develop a care plan related to surgical wounds for one of 21 sampled Residents (R) (R155). In addition, the facility failed to implement a care plan for one of 21 sampled residents (R52) related to the use of a sit to stand lift. Findings include: Review of the facility's policy titled, Care Plans, Comprehensive Person-Centered, dated 7/27/2023, the Policy Statement revealed, It is the policy of the health care center for each patient/resident to have a person-centered baseline care plan followed by a comprehensive care plan developed following completion of the Minimum Data Set (MDS) and Care Area Assessment (CAA) . […]

• No harm, potential for more than minimal, isolatedF677Jan 7, 2024

  Based on observations, resident and staff interviews, and record review the facility failed to provide Activities of Daily Living (ADL) related to incontinent care in a timely manner for one of 21 sampled Residents (R) (R16). This failure has the potential to affect the resident's comfort and increase the risk of infection. Findings include: Review of R16's Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Section C: Cognitive Patterns- a Brief Interview for Mental Status (BIMS) score of 13 indicated his cognition was intact; Section GG: Functional Abilities and Goals-indicated the resident's range of motion was impaired bilaterally, and he was dependent on staff for toileting. […]