Springs Valley Meadows

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880May 1, 2026

  Based on observation, interview, and record review, the facility failed to ensure infection control practices were followed for 2 of 3 residents observed for incontinence care and 3 of 7 residents observed for medication pass. The nursing staff failed to change gloves after touching multiple items in the room before starting incontinence care, touched medications with bare hands, and a washed hands with a five second lather. (Resident 61, Resident 21, Resident 24, Resident 45, Registered Nurse 32, CNA 14, CNA 21, CNA 44)Findings include: 1. On 4/27/26 at 6:35 A.M., Registered Nurse (RN) 32 was observed prepping medications for Resident 21. […]

• No harm, potential for more than minimal, patternF761Feb 27, 2025

  Based on observation, interview and record review, the facility failed to maintain safe and secure storage of medications for 1 of 4 medication carts observed. The narcotic box lid inside the cart was not closed completely to engage the lock. (South Long Hall Medication Cart) Finding includes: On 2/26/25 at 9:45 A.M., the South Long Hall Medication Cart was observed. The lid was not closed completely to engage the lock. Narcotics were observed stored in the box at the time. At that time, Licensed Practical Nurse (LPN) 24 indicated it was not broken and should have been closed and locked. […]

• No harm, potential for more than minimal, patternF804Feb 27, 2025

  Based on observation, interview, and record review, the facility failed to provide meals at an acceptable temperature for 1 of 1 lunch trays sampled on 1 of 2 units. Food was served cold. (South Hall) Finding includes: During an interview on 2/24/25 at 11:33 A.M., an anonymous resident indicated the food was not served hot. During an interview on 2/26/25 at 1:35 P.M., an anonymous resident indicated the food was not served hot. During an observation on 2/26/25 at 11:46 A.M., the South Hall meal trays were being distributed to resident rooms from a meal cart. The individual meals were covered with an insulated dome with a base. At 11:52 A.M., a hall tray was sampled. The cheeseburger temperature was 113 degrees Fahrenheit. […]

• No harm, potential for more than minimal, patternF755Jan 31, 2024

  Based on interview and record review, the facility failed to ensure an accurate account of controlled medications dispensing and administration records were maintained. Medication administration records were not completed and/or did not match controlled substance records and controlled substance records were dated incorrectly. (Resident B, Resident C, Resident D, Resident F, Resident G, Resident H) Findings include: 1. During a review of facility reported incidents on 1/31/2 at 12:50 P.M., an incident, dated 10/9/23, included that during an audit, a concern for inaccurate documentation of PRN (as needed) narcotic administration. Medication administration date was noted to be prior to received date. […]

• No harm, potential for more than minimal, isolatedF761May 1, 2026

  Based on observation, interview, and record review, the facility failed to ensure narcotics were double locked in the medication cart for 1 of 2 medication carts observed. Narcotic box on medication cart was not locked. (South Long Hall Medication Cart)Finding includes:On 4/27/26 at 6:15 A.M., the South Long Hall Medication Cart narcotic box was observed to be unlocked.During an interview on 4/30/26 at 9:09 A.M., Licensed Practical Nurse (LPN) 56 indicated medication carts should always be locked, and the narcotic box should always be under a double lock.On 5/2/26 at 10:25 A.M., a current Controlled Substances Policy, dated November 2024, was provided by the Administrator and indicated, . It is the policy of this facility that all controlled substances will be stored . […]