Tice Valley Post Acute

In the surveyor’s words

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

• Actual harm, isolatedF692May 17, 2022

  Based on interview and record review for one of three sampled residents (Resident 1), the facility failed to ensure Resident 1 maintained acceptable parameters of hydration and nutrition when Resident 1's decreased in meal intake was not identified and interventions were not implemented in a timely manner. In addition, Resident 1's input and output was not monitored, and nutritional supplement was not provided as ordered by the physician This failure resulted in Resident 1 sustaining a 13% weight loss. […]

• Actual harm, isolatedF880May 17, 2022

  Based on interview and record review, the facility failed to maintain infection control program for five of five sampled residents (Residents 1, 2, 3 , 4 and 5), when the facility failed to identify and monitor the prevalence of Scabies (a contagious, intensely itchy skin condition caused by a tiny, burrowing mite) in the facility and interventions to mitigate the spread of infection was not implemented. This failure resulted in cross contamination and Residents 2, 3 ,4 and 5 contracted scabies. Findings: During a review of Resident 1's My Transition Home (MTH), dated 1/8/20, indicated Resident 1 was admitted to the facility on [DATE]. During a review of Resident 1's General Progress Notes (GPN), dated 1/11/20, GPN indicated Resident 1 was discharged on [DATE]. […]

• No harm, potential for more than minimal, widespreadF836Jun 17, 2026

  Based on interview and record review, the facility failed to follow state Title 22 regulations and ensure the social services department was staffed and supervised by qualified and competent staff which affect all 123 residents.This failure resulted in all 123 residents receiving social services care from unqualified staff. During an interview on 9/23/25, at 10:35 a.m., with Social Services Director (SSD), SSD stated they were the director of the social services department and were responsible for admission assessments, discharge planning. SSD stated the social services department assisted residents with dental, optometry, podiatry and psychiatric appointments to ensure residents' physical, mental and psychosocial needs were met. […]

• No harm, potential for more than minimal, widespreadF836Dec 11, 2025

  Based on interview and record review, the facility failed to follow state Title 22 regulations and ensure the social services department was staffed and supervised by qualified and competent staff which affected all 120 residents.This failure resulted in all 120 residents receiving social services care from unqualified staff.During an interview on 9/23/25, at 10:35 a.m., with Social Services Director (SSD), SSD stated they were the director of the social services department and were responsible for admission assessments, discharge planning. SSD stated the social services department assisted residents with dental, optometry, podiatry and psychiatric appointments to ensure residents' physical, mental and psychosocial needs were met. […]

• No harm, potential for more than minimal, patternF755Jun 17, 2026

  Based on observation, interview and record review, the facility failed to ensure it kept accurate records of controlled medications (medication with a potential for abuse) as evidenced by: 1. The facility failed to ensure, for residents 1-8, the scheduled (controlled medication, narcotic) medication system was complete (all documents available) and accurate (information matched). The record system included Shipping Manifests (pharmacy delivery receipt), Controlled Substance Accountability Sheets (CDR, Controlled Drug Record), Medication Administration Records (MAR, record of medication administration) and destruction logs. The facility records were incomplete. The facility records were inaccurate. […]