Valencia Gardens Health Care Center

In the surveyor’s words

From the most serious findings on record at Valencia Gardens Health Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Mar 3, 2021

  Based on observation, interview, and record review, the facility failed to maintain their infection control program to prevent the spread of COVID-19 (a highly contagious respiratory illness caused by the novel [MEDICAL CONDITION] that can be spread from person to person) for the population of 57 residents when: 1. The facility did not designate a General Area or Green Zone (an area for the residents who completed the 14 day quarantine period without developing symptoms, and for residents who tested negative for COVID-19 and had not been exposed to [MEDICAL CONDITION]); 2. […]

• No harm, potential for more than minimal, patternF880Jul 7, 2025

  Based on observation, interview, and record review, the facility failed to ensure infection control practices were implemented when: 1. For Resident 7, Certified Nursing Assistant (CNA) 2 failed to use the disposable gown provided for Enhanced Barrier Precautions (EBP - infection prevention practices using gowns and gloves during high-contact resident care activities to reduce the spread of multidrug resistant organisms [MDRO] - a germ that is resistant to many antibiotics) when providing direct care; and 2. […]

• No harm, potential for more than minimal, patternF755Jun 6, 2024

  Based on interview and record review, the facility failed to ensure accurate accountability of controlled medications (those with high potential for abuse and addiction) for three of four random sampled residents (Residents 1, 18, and 247) when a random controlled medication audit did not reconcile. The controlled medications were signed out of the Medication Count Sheet (a controlled drug record, an inventory sheet that keeps record of the usage of controlled medications) but not documented on the Medication Administration Records (MAR) to indicate they were administered to the residents. The failure resulted in inaccurate accountability of controlled medications, which had the potential for misuse or diversion. […]

• No harm, potential for more than minimal, patternF760Jun 6, 2024

  Based on observation, interview, and record review, the facility failed to follow the physician's order to hold the administration of the the medication Hydralazine Hydrochloride (medication used to control high blood pressure) for the systolic blood pressure (top number) less than 130 for one resident reviewed (Resident 35). This failure resulted in Resident 35 receiving the medication multiple times below the prescribed parameter as ordered by the physician from May 11, 2024 through June 3, 2024. Findings: On April 3, 2024, at 7:10 a.m., Resident 35 was observed awake, alert and able to verbalize her needs. […]

• No harm, potential for more than minimal, patternF802Jun 6, 2024

  Based on observation, interview, and record review, the facility failed to ensure dietary staff were able to carry out the functions of food and nutrition services safely and effectively when: 1. Dietary Aide (DA) 3 did not follow the facility cleaning procedure to clean food preparation surface and stationary equipment (Cross referred F 812); 2. Two kitchen staff did not document the cooling process on June 2, 2024 for making boiled eggs (Cook 2) and on June 2, 2024, for making tuna salad (Dietary Aide 1); 3. [NAME] 3 did not know how to calibrate a thermometer; 4. [NAME] 1 did not follow the time length according to manufacturer's guidelines for dipping the test strip in the sanitizer (sanitizing solution used for sanitizing food contact surfaces); and 5. […]