Star Valley Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF761Feb 12, 2026

  Based on observation, staff interview, manufacturer's instructions and policy and procedure review the facility failed to ensure residents had access to unexpired medications in 2 of 2 medication storage areas (medication cart, medication room). The findings were: 1. Observation of the facility medication cart on 2/11/26 at 10:12 AM showed a Lispro insulin pen 100 units/ milliliters with a manufacturer expiration date of 1/28. The pen was labeled with resident #7's name, the date it was opened on 12/30/25 and had approximately 190 Units out of 300 units remaining. […]

• No harm, potential for more than minimal, isolatedF689Feb 12, 2026

  This requirement was not met as evidenced by:Based on observation, staff interview and review of the manufacturer instructions, the facility failed to ensure resident safety for 1 of 3 residents reviewed for mechanical hoyer lift transfers (#8). The findings were:1. Review of the quarterly MDS assessment dated [DATE] showed resident #8 had a BIMS score of 12 out of 15, which indicated moderate cognitive impairment and had diagnoses which included neurogenic bladder, multiple sclerosis, and cancer. Further review showed the resident was wheelchair dependent, relied on staff for ADL cares, and required the use of a mechanical lift for transfers. The following concerns were identified: a. […]

• No harm, potential for more than minimal, isolatedF880Feb 12, 2026

  Based on observation, medical record review, staff interview, and policy and procedure review, the facility failed to ensure infection prevention practices were implemented for 1 of 12 sampled residents (#8) reviewed. The findings were:1.Review of the quarterly MDS assessment dated [DATE] showed resident #8 had a BIMS score of 12 out of 15, which indicated moderate cognitive impairment and had diagnoses which included neurogenic bladder, multiple sclerosis, and cancer. Further review showed the resident was wheelchair dependent and relied on staff for ADL cares. The following concerns were identified: a. Observation on 2/11/26 at 10 AM showed NA #1 provided a brief change and peri care to resident #8. […]

• No harm, potential for more than minimal, isolatedF883Jul 11, 2024

  Based on medical record review, staff interview, and review of facility protocols and Centers for Disease Control and Prevention (CDC) immunization recommendations, the facility failed to ensure residents were offered pneumococcal immunizations based on CDC recommendations for 1 of 5 sample residents (#21) reviewed for immunizations. The findings were: 1. Review of the medical record showed resident #21 was admitted on [DATE] and was [AGE] years old. Further review of the medical record showed no evidence the resident had received pneumococcal vaccinations nor been offered pneumococcal vaccination since admission. During an interview on 7/10/24 at 3:28 PM the infection preventionist (IP) stated the resident had the pneumococcal conjugate vaccine (PCV13) in 2018. […]