South Valley Care Center LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jul 3, 2025

  Based on observation and interview, the facility failed to:- Ensure expired kitchen items were disposed of and not accessible in the refrigerator.- Use appropriate techniques to thaw frozen shrimp.- Store food off the floor.These deficient practices could potentially cause a foodborne illness for all residents in the facility. The findings are:Expired Food A. On 07/01/25 at 9:30 am, during an initial kitchen tour, observation revealed containers of cottage cheese with expiration dates of 06/22/25 and 06/26/25.B. On 07/01/25 at 9:30 am, during an interview, the Dietary Manager (DM) stated staff should have thrown away the expired cottage cheese. He stated expired food should not be in the refrigerator. The DM stated staff should check the refrigerator daily for expired food. Thawing Food C. […]

• No harm, potential for more than minimal, widespreadF812Mar 14, 2024

  Based on observation and interview, the facility failed to discard food after it reached its shelf life or after it expired. This failure was likely to affect all 52 residents listed on the census provided by the Administrator on [DATE]. This deficient practice could likely lead to foodborne illnesses (illness caused by food contaminated with bacteria, viruses, parasites, or toxins) in residents if food is not being discarded timely. The findings are: A. On [DATE] at 10:22 am, observation of the walk-in fridge revealed the following: 1. Cabbage, use by date [DATE], 2. Cilantro, use by date [DATE], 3. Parsley, use by date [DATE]. B. On [DATE] at 10:22 am, during an interview, the Dietary Manager confirmed the cabbage, cilantro, and parsley should be discarded on or by the use by date.

• No harm, potential for more than minimal, patternF761Sep 10, 2025

  Based on observations, interviews, and record reviews, the facility failed to:- Ensure a medication cart located on the East Hall was inaccessible to unauthorized individuals for 1 (medication cart #1) of 3 (medication carts #1, #2, and #3) medication carts. - Pick up and dispose of a dropped medication for 1 (R #3) of 1 (R #3) residents. If the facility fails to ensure medication is secured against unauthorized access, then residents are at risk of adverse drug reactions, medication errors, overdose, or death. The findings are: Unattended Medication [NAME]. Record review of the facility's Medication Storage Policy, dated 12/11/24, revealed all medication carts must remain locked and secured when not in use. B. […]

• No harm, potential for more than minimal, patternF645Jul 3, 2025

  Based on interviews and record review, the facility failed to ensure Level I PASRR (Screening for Mental Illness and Intellectual Disability) Level I screenings were reviewed for accuracy and properly completed for two of two residents reviewed for PASRR (R #22, and R #25). If the facility fails to review Level I PASRR screenings for accuracy and ensure that they are properly completed, then residents with serious mental illness or intellectual disability may be admitted without appropriate screening or specialized service determination, resulting in inappropriate placement and potential harm.(The findings are)R #22A. Record review of R #22's PASRR Level 1 screening, dated 06/15/23, revealed the resident did not have a diagnosis of or a suspicion of a serious mental illness. B. […]

• No harm, potential for more than minimal, patternF580Feb 14, 2025

  Based on record review and interview, the facility failed to notify the resident's physician when a resident did not eat for an extended period of time and loss significant weight for 1 (R #1) of 1 (R #1) resident. If the facility is not notifying the physician then residents are likely to experience adverse effects, worsening of their condition, and potential complications from not receiving the proper care. The findings are: A. Record review of R #1's face sheet, dated 11/19/24, revealed R #1 was admitted to the facility 06/14/19. B. […]