Valley Oaks Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Dec 19, 2024

  Based on observations, interviews, facility policy review, and review of the United States (U.S.) Food and Drug Administration (FDA) 2022 Food Code, the facility failed to ensure dishware was allowed to air dry before being stacked in 1 of 1 facility kitchen. Stacking the dishes while still wet/damp had the potential to create an environment conducive to microbial growth, which could result in foodborne illness. The failed practice had the potential to affect all 51 residents who resided in the facility and received meals from the kitchen. Findings included: An undated facility policy titled Dishwashing indicated, Dishes are to be air dried in racks before stacking and storing. The U.S. […]

• No harm, potential for more than minimal, widespreadF679Feb 17, 2022

  Based on observation, interview , and record review, the facility failed to ensure staff implemented its policy and procedure (P&P), Activity planning and Procedures for the Activity Director, (undated), for 40 of 40 sampled residents when: 1) residents did not receive a written evaluation as to their abilities to participate in activities and signed by a physician; 2) residents did not receive an individual activity treatment plan based on their individual likes and preferences; and 3) there was no documentation of individual problems, needs, and goals in any of the 40 resident's medical records. […]

• No harm, potential for more than minimal, widespreadF812Feb 17, 2022

  Based on observation, interview, and record review, the facility failed to ensure safe food handling and sanitation were implemented when: 1) Two of two buckets containing sanitizing solution was not at an effective concentration to sanitize a food contact surface. 2) The ice machine was not maintained in a sanitary manner. 3) The temperature monitoring log for the refrigerator, located at the nursing station, was greater than 41 degrees Fahrenheit (F) multiple times in which the staff failed to identify and report for immediate remedy. These failures had the potential to place the residents at an increased risk of foodborne illness. Findings: 1. […]

• No harm, potential for more than minimal, patternF658Feb 12, 2026

  Based on record review and interview, the facility failed to ensure staff provided resident care and services in accordance with professional standards of nursing practice when physician medication orders and instructions were not followed for three of six sampled residents (Residents 13, 6, and 3).These failures had the potential to result in unsafe nursing care practices which could compromise the health and safety of these residents.Findings:1. During a review of Resident 13's admission Record (AR), dated 2/11/26, the AR indicated, Resident 13 is an [AGE] year-old female who was initially admitted to the facility on [DATE] with diagnoses including, Chronic Obstructive Pulmonary Disease (COPD - a common lung disease causing restricted airflow and breathing problems), Paroxysmal Atrial… […]

• No harm, potential for more than minimal, patternF689Dec 19, 2024

  Based on observations, interviews, records reviews, and facility policy review, the facility failed to ensure an evaluation for causative factors was conducted and documented after each fall to facilitate the ability to develop effective fall prevention interventions and failed to ensure accurate information about residents' falls was maintained for 2 (Resident #36 and Resident #25) of 2 sampled residents reviewed for accidents. Findings included: A facility policy titled, Fall Risk Assessment, revised 03/2018, indicated, 9. The staff and attending physician will collaborate to identify and address modifiable fall risk factors and interventions to try to minimize the consequences of risk factors that are not modifiable. […]