Teays Valley Center

In the surveyor’s words

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

• Immediate jeopardy, patternF807Dec 19, 2024

  Based on observation, record review, staff interview and resident review, the facility failed to provide liquids in the correct consistency to meet the resident's individual needs. This was true for five (5) of five (5) residents that were ordered nectar thickened liquids. This created an immediate jeopardy situation as residents could be physically harmed and suffer possible complications such as aspiration pneumonia by not receiving their liquids in the correct consistency. Resident identifiers: #73, #1, #12, #14, #62. Facility Census: 115 Findings included: a) Resident #73 During the initial resident interview process on 12/10/24 at 9:00 AM, Resident #73 reported he did not like his current diet level of soft food and thickened liquids. […]

• No harm, potential for more than minimal, widespreadF727Feb 18, 2026

  Based on record review and staff interview, the facility failed to have a Registered Nurse on duty for eight (8) hours a day, seven (7) days a week full time. This was found to be true for one (1) of 19 days reviewed during the long term care survey process. Facility census: 120.Findings included: On 04/21/25, the facility Daily Nurse Staffing Form only recorded one Registered Nurse (RN) working 4.0 hours. On 02/18/26 at 12:15 PM, surveyor asked the Nursing Home Administrator (NHA) if the posted Daily Nurse Staffing Form was correct. The NHA stated the RN was on call, but came in to work four (4) hours that day. This was additionally verified by a Time Detail Report from the facility's time keeping system.

• No harm, potential for more than minimal, widespreadF726Mar 24, 2022

  Based on observation, record review, and staff interview the facility failed to ensure staff possessed the appropriate competencies required to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. These failed practices had the potential to affect all residents currently residing in the facility. The staff failed to ensure appropriate foot care, Activities of Daily Living Care (ADL), [CONDITION(S)] care and the failure to ensure residents are transferred in a safe manner. Resident Identifiers: #93, #27, #32, #107, #2, #323, #322, and #162. Facility Census: 121. Findings Included: a) Foot Care 1. […]

• No harm, potential for more than minimal, patternF628Feb 18, 2026

  Based on record review and staff interview the facility failed to ensure they had verification that a bed hold policy/notice had been given to one (1) residents and/or their legal representative at the time they were transferred from the facility. Resident identifier: #50. Facility census: 120. a) Resident #50 This resident was on hospital leave from 08/22/25 until 08/27/25. The resident had capacity to make his/her own medical decisions. On 08/22/25, the resident was transferred to an acute care facility for shortness or breath with hypoxemia. A review of the medical record found no bed hold notice. This was requested from the facility on 02/17/26 at 8:45 AM. […]

• No harm, potential for more than minimal, patternF656Feb 18, 2026

  Based on record review and staff interview, the facility failed to develop or implement the care plan for residents care. This was true for three (3) care plans reviewed during this survey. Resident Identifiers: #3, #9 and #63. Facility Census: 120 Findings Included: a) Resident #3 On 02/17/26 at 12:30 PM a record review of medical diagnosis for Resident #3 shows there is a diagnosis of Bipolar. A review of the care plan found no diagnosis of Bipolar under the Focus of impaired/decline in cognitive function in impaired thought processes nor any where on the care plan. On 02/17/26 at 1:00 PM the above was confirmed with the Administrator that the diagnosis of Bipolar was not developed on the care plan. […]