Valley Palms Care Center

In the surveyor’s words

From the most serious findings on record at Valley Palms Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF805Jan 22, 2025

  Based on observation, interview, and record review, the facility failed to prepare food in a form designed to meet individual needs (requirements that a person has in order to be well such as food) for one of one sampled resident (Resident 1) on puree diet (a texture modified diet that consists of smooth foods with pudding-like consistency that are easy to swallow) by not following the recipes for puree bread and in accordance with the International Dysphagia Diet Initiative (IDDSI - a framework for categorizing food textures and drink thickness) Level Four (4) Standards (puree foods and extremely thick drinks). […]

• Immediate jeopardy, isolatedF808Jan 22, 2025

  Based on observation, interview, and record review, the facility failed to ensure one of one sampled resident (Resident 32) received and consumed food as prescribed by the physician by failing to ensure Resident 32 consumed a mechanical soft finely chopped diet (a texture-modified diet that is prepared by finely chopping ingredients into small pieces, making it easier to chew and swallow for residents who have difficulty with regular food texture due to conditions like dysphagia [swallowing difficulties]) as ordered by the physician and did not consume a biscuit at dinner on 1/18/2025. […]

• Actual harm, isolatedF689Feb 18, 2024

  Based on observation, interview, and record review, the facility failed to prevent an accident and injury for one of two sampled residents (Resident 28), who was assessed as a fall risk, was unable to move from the neck down, was dependent on staff for bed mobility, dressing, and personal hygiene, and was on a low air loss mattress (LALM, a device that operates using a blower-based pump designed to circulate a constant flow of air; the air mattress is covered with tiny holes designed to let out air very slowly which helps keep the skin dry and [NAME] away any moisture as well as to relieve pressure). […]

• No harm, potential for more than minimal, widespreadF809May 8, 2026

  Based on observations, interviews, and record reviews, the facility failed to provide residents' meals at regular times scheduled in accordance with resident needs, preferences, and requests when lunch was served late on 5/4/2026. This deficient practice had the potential to result in hunger and frustration affecting 88 to 91 residents who were getting food from the kitchen. Findings: During an observation on 5/4/2026 at 12:00 p.m., of the lunch trayline (an area where foods were assembled form the steamtable [kitchen appliance that keeps food warm at a safe temperature for serving] to residents' plates) service, observed kitchen staff taking the temperatures of the foods using a facility thermometer. During an observation on 5/4/2026 at 12:24 p.m. […]

• No harm, potential for more than minimal, widespreadF812May 8, 2026

  Based on observation, interview, and record review, the facility failed to ensure safe and sanitary food storage and food preparation practices in the kitchen when: 1. Kitchen storage surfaces were not of cleanable surfaces a. Racks in the walk-in refrigerator had chips and the paint was coming off. b. Four (4) of 4 shelves in the reach-in refrigerator had rust and amber discoloration c. [NAME] shelves in the dry storage area had chips on the edges. d. Shelves in the walk-in freezer had rust and amber discoloration. e. Thirty-five (35) of 45 residents' trays had chips and cracks and lost its glaze. f. [NAME] chopping board by trayline (an area where foods were assembled form the steamtable [kitchen appliance that keeps food warm at a safe temperature for serving] to resident's plates). 2. […]