Valley Hill Health & Rehab Center

In the surveyor’s words

From the most serious findings on record at Valley Hill Health & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 10, 2024

  Based on observations, record review and staff interviews, the facility failed to prevent a resident with a court-appointed guardian who required supervision with leave of absences, a previous elopement attempt, and wore an elopement alarm monitoring device (Resident #127) from exiting the facility unsupervised and without staff knowledge. The facility also failed to prevent a resident with impaired cognition who had a history of exit seeking behavior and wore an elopement alarm monitoring device (Resident #67) from exiting the facility unsupervised and without staff knowledge. The deficient practice was for 2 of 5 sampled residents reviewed for accidents. On 04/11/23, Resident #127 was last seen in the facility at approximately 10:30 AM walking toward the dining room. […]

• Immediate jeopardy, isolatedF726Apr 10, 2024

  Based on observations, record review and staff interviews, the facility failed to train and verify competency for cleaning and disinfecting a glucometer according to manufacturers' recommendations using an Environmental Protection Agency (EPA) approved disinfectant cloth between residents. Agency Nurse #1 was observed not cleaning and disinfecting a shared glucometer between use of two residents (Resident #57 and Resident #62). Agency Nurse #1 was interviewed and reported she was unaware residents requiring blood sugar monitoring had assigned individual glucometers and was unfamiliar with the EPA approved disinfectant wipe's manufacturer's guidelines for contact time. […]

• Immediate jeopardy, isolatedF880Apr 10, 2024

  Based on observations, staff interviews, and record review, the facility staff failed to disinfect a shared blood glucose meter (glucometer) between residents in accordance with manufacturer's recommended contact time for 2 of 3 residents whose blood glucose levels were checked (Resident #57 and Resident #62). This occurred while there was not a resident with known bloodborne pathogens in the facility. Shared glucometers can be contaminated with blood and must be cleaned and disinfected after each use with an approved product and procedure. […]

• Immediate jeopardy, isolatedF689Jan 17, 2024

  Based on observations, record review and interviews with the Emergency Medical Technician, the Medical Doctor, and staff the facility failed to safeguard a resident with severe cognitive impairment from an avoidable hazard when bilateral quarter bed rails were utilized in conjunction with an alternating air pressure mattress. Resident #1 was found with no signs of life on [DATE] after experiencing a fall from a bed with bed rails in the up position. The resident was observed with his buttocks on the ground and his head laying face up on the mattress with his chin and neck pressed against the bed rail. This occurred for 1 of 3 residents reviewed for accidents (Resident #1). […]

• Immediate jeopardy, isolatedF700Jan 17, 2024

  Based on observations, record review and interviews with the Emergency Medical Technician, the Medical Doctor, and staff the facility failed to comprehensively assess the risk of entrapment and the use of quarter length bilateral bed rails for a dependent resident with severe cognitive impairment who required extensive 2-person assistance with bed mobility after the placement of an alternating pressure air mattress. The resident experienced a fall from the bed equipped with the alternating pressure air mattress and quarter rails on both sides of the bed in an up position. The resident was found with no signs of life and observed to be partially on the floor and partially on the bed with his head pressed against the bed rail. […]