Suwannee Valley Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jan 6, 2021

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for food service safety and maintain kitchen equipment in a clean and sanitary condition, potentially affecting the entire 53 resident population. (Photographic evidence). Findings include: 1. A tour of the main kitchen was conducted as part of the initial tour on Monday, 1/4/21 beginning at 9:33 AM. Areas of concern were identified during the tour and observed by the facility Certified Dietary Manager. The areas included: a. […]

• No harm, potential for more than minimal, patternF641May 21, 2024

  Based on observation, interview, and record review, the facility failed to ensure resident assessments accurately reflect the resident's status for 2 (Resident #1 and #5) of 3 residents reviewed for respiratory care. Findings include: 1.) Review of the admission record documented Resident #1 was admitted to the facility on [DATE] with diagnoses that include COPD (Chronic Obstructive Pulmonary Disease and OSA (Obstructive Sleep Apnea). During an interview on 5/21/24 at 9:59 AM, Resident #1 confirmed it was her CPAP (Continuous Positive Airway Pressure) machine sitting on the nightstand. […]

• No harm, potential for more than minimal, isolatedF641Aug 13, 2026

  Based on record review and interview, the facility failed to ensure Minimum Data Set (MDS) assessments were complete and accurate for 1 of 3 residents, Resident #11, reviewed for Minimum Data Set assessments. Findings include:Review of Resident #11's Minimum Data Set (MDS) titled Significant Change dated 05/20/26 documented under Section N, High-Risk Drug Classes, antipsychotics was coded as yes. Review of Resident #11's Medication Administration Record for May 2026 revealed no antipsychotic medications administered during the look-back period for the MDS dated [DATE]. […]

• No harm, potential for more than minimal, isolatedF644Aug 13, 2026

  Based on record review and interview, the facility failed to ensure residents with newly evident or known diagnosis of serious mental disorders have a coordinated Preadmission Screening and Resident Review (PASRR) for 1 of 3 residents, Resident #31, reviewed for PASRR. Findings include:Review of Resident #31's PASRR dated 07/24/26 revealed no related conditions, including traumatic brain injury, checked off. Review of Resident #31's Minimum Data Set (MDS) titled Admission dated 07/02/26 documented under Section I, Active Diagnoses, personal history of traumatic brain injury. […]

• No harm, potential for more than minimal, isolatedF656Aug 13, 2026

  Based on interview and record review, the facility failed to develop and implement a comprehensive care plan for 1 of 5 residents, Resident #11, reviewed for unnecessary medications. Findings include:Review of Resident #11's psychiatry note dated 04/29/26 read, Diagnoses Rationale and Justifications Bipolar Disorder: The patient's history suggests that the patient has chronic episodes of depression and manic-like symptoms. These symptoms cause significant distress and functional impairment to the patient. There is no consistent substance use or organic brain disorder to explain these consistent mood symptoms. […]