South Valley Post Acute Rehabilitation

In the surveyor’s words

From the most serious findings on record at South Valley Post Acute Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF727Jan 29, 2026

  Based on record review and interviews, the facility failed to designate a registered nurse (RN) to serve as the director of nursing (DON) on a full-time basis.Specifically, the facility did not designate an RN to serve as the DON on a full-time basis after the DON's RN license expired on [DATE]. Findings include:Record review, observations and interviews confirmed the facility corrected the deficient practice related to the facility's failure to designate a registered nurse (RN) to serve as the director of nursing on a fall time basis prior to the onsite investigation on [DATE] to [DATE]. The deficiency was cited as past non-compliance with a correction date of [DATE].I. Record reviewReview of the DON's RN license history revealed the license expired on [DATE].II. […]

• No harm, potential for more than minimal, patternF689Jan 29, 2026

  Based on observations, record review and interviews, the facility failed to ensure the residents' environment remained as free of accident hazards as possible for one of three shower rooms, 12 of 22 sample resident room sinks and one (#2) of four residents reviewed for accident hazards out of 52 sample residents.Specifically, the facility failed to:-Ensure the water in facility shower rooms had safe bathing temperatures and staff had adequate monitoring equipment; and,-Ensure certified nurse aide (CNA) #5 transferred Resident #2 appropriately, which resulted in a fall for the resident. Findings include: I. Water temperature failures A. […]

• No harm, potential for more than minimal, patternF761Jan 29, 2026

  Based on observations and interviews, the facility failed to ensure all drugs and biologicals were properly stored, secured, and labeled in accordance with accepted professional standards in two of four medication carts and one of two medication storage rooms.Specifically, the facility failed to ensure residents' medications were labeled and dated appropriately with the resident's name and the date the medication was opened.Findings include:I. Facility policy and procedureThe Medication Access and Storage policy, revised October 2025, was provided by the nursing home administrator (NHA) on 2/2/26 at 6:35 p.m. It read in pertinent part, It is the policy of this facility to store all drugs and biologicals in locked compartments under proper temperature controls. […]

• No harm, potential for more than minimal, patternF880Jan 29, 2026

  Based on observations and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of diseases and infection.Specifically, the facility failed to:-Ensure housekeeping staff followed proper cleaning techniques for cleaning and disinfectingresident rooms and high-frequency touched areas (call lights, door handles and handrails); and,-Ensure urinary catheter tubing and collection bag were handled in a sanitary manner for Resident #100. Findings include:I. Housekeeping failuresA. Professional referenceAssadian O, Harbarth S, Vos M, et al. Practical Recommendations for Routine Cleaning and Disinfection Procedures in Healthcare Institutions: A Narrative Review. […]

• No harm, potential for more than minimal, isolatedF554Jan 29, 2026

  Based on observations, record review and interviews, the facility failed to ensure the self-administration of medications was clinically appropriate for one (#118) of 10 residents out of 52 sample residents. Specifically, the facility failed to ensure an assessment was conducted to determine whether the self-administration of medications was clinically appropriate for Resident #118. Findings include:I. Resident #118A. Resident statusResident #118, age greater than 65, was admitted on [DATE]. […]