Valley Care and Rehab LLC

In the surveyor’s words

From the most serious findings on record at Valley Care and Rehab LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF578Jul 26, 2023

  Based on observation, interview and document review, the facility failed to ensure resident advance directives were accurately documented in the electronic health record (EHR) and displayed correctly on the doorframe to reflect the residents current wishes (green dot indicated- cardiopulmonary resuscitation (CPR); red dot indicated- do not resuscitate (DNR), which affected 2 of 16 residents (R10 and R29) reviewed for advance directives. This deficient practice resulted in an immediate jeopardy (IJ) for (R10) who would not have received CPR, contrary to her wishes, in the absence of a pulse or respirations. […]

• No harm, potential for more than minimal, patternF812Apr 23, 2025

  Based on observation, interview and document review, food items were not served in a sanitary and clean manner to residents observed during meals served from the steamer table in the kitchen. This deficient practice had the potential to affect all 10 residents who were served bread during their meal. Findings include: During an observation on 4/21/25 at 12:14 p.m. ,dietary manager (DM)-A removed the saran wrap over the cold items, and covers over other items in the steam table after washing hands and applying gloves. DM-A placed the resident meal choice slips of paper which were approximately three by three inches onto the metal counter area in the front of the steam table with gloved hands. […]

• No harm, potential for more than minimal, patternF804Mar 6, 2024

  Based on observation, interview, and document review, the facility failed to ensure food was served at a palatable and appetizing temperature for 8 of 8 residents (R2, R3, R5, R6, R8, R13, R24, R28) reviewed for dining services. Findings include: R2's quarterly Minimum Data Set (MDS) dated [DATE], indicated R2 was cognitively intact and was independent with eating. R3's quarterly Minimum Data Set (MDS) dated [DATE], indicated R3 was cognitively intact and was independent with eating. R5's admission Minimum Data Set (MDS) dated [DATE], indicated R5 was cognitively intact and was independent with eating. R6's significant change Minimum Data Set (MDS) dated [DATE], indicated R6 was cognitively intact and was independent with eating. […]

• No harm, potential for more than minimal, patternF880Mar 6, 2024

  Based on observation, interview, and document review, the facility failed to ensure personal laundry was transported in a manner that prevented risk of contamination for 2 of 2 hallways observed for linen transportation. Findings include: Review of Centers for Disease Control (CDC ) guidance, Appendix D - Linen and Laundry Management updated 5/4/23, identified linens must be sorted, packaged, transported, and stored in a manner that prevented risk of contamination by dust, debris, soiled linens or soiled items. During an observation on 3/4/24 at 3:56 p.m., housekeeping aid (HA)-A exited R16's room with laundry, lifted linen bin cover off of dirty linen bin in hallway next to transmission based precaution room and placed laundry in dirty linen bin. […]

• No harm, potential for more than minimal, patternF883Jul 26, 2023

  Based on interview and document review, the facility failed to ensure 4 of 5 residents (R7, R10, R21 and R24) were offered or received pneumococcal vaccinations in accordance with the Center for Disease Control (CDC) recommendations. Findings include: Review of the current CDC recommendations 3/15/2023, revealed The CDC identified Adults [AGE] years of age or older who had not previously received Pneumococcal 13-valent Conjugate Vaccine (PCV13) and who had previously received one or more doses of Pneumococcal Polysaccharide Vaccine 23 (PPSV23) should receive a dose of Pneumococcal 15-valent Conjugate Vaccine (PCV15) or one dose of Pneumococcal 20-valent Conjugate Vaccine (PCV20). The dose of PCV15 or PCV20 should be administered at least one year after the most recent PPSV23 dose. […]