Valley Springs Rehabilitation and Health Center

In the surveyor’s words

From the most serious findings on record at Valley Springs Rehabilitation and Health Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 23, 2022

  Based on observation, interview, and record review, the facility failed to ensure training, assessments, and physician orders were implemented to prevent wheelchair harness injury for 1 (Resident #1) of 1 sampled resident whose neck was caught on the chest harness causing a small red area on his [NAME] apple. The Administrator was notified of the Past IJ (Immediate Jeopardy) on 09/22/22 at 9:36 AM, and the facility failed to ensure scissors were not in the possession of 1 (Resident #51) of 5 (Residents #51, #33, #78, #8 and #39) sampled residents who resided on the Secure Unit to ensure the safety of the residents who were ambulatory and resided on the Secure Unit. […]

• No harm, potential for more than minimal, widespreadF812Dec 21, 2023

  Based on observation, interview, and record review, the facility failed to ensure food stored in the refrigerator and freezer was covered or sealed to prevent potential contamination or freezer burn; kitchen floors were clean; and facial hair was covered. This failed practice had the potential to affect 92 residents who received meal trays from the kitchen. The findings are: On 12/17/23 at 10:58 AM, in the freezer there were 6 pork fritters in an open bag with no date on it; 5 pancakes in a bag not sealed that was dated 11/29/23; 4 hamburger patties in a bag not dated; in the refrigerator there was a pan of liquid eggs in a pan covered in foiled that had use for Saturday written on the foil; 42 cups of pudding in the refrigerator uncovered; and the kitchen floors had food crumbs and dirt… […]

• No harm, potential for more than minimal, widespreadF812Sep 23, 2022

  Based on observation, record review, and interview, the facility failed to ensure foods stored in the freezer, refrigerator and dry storage area were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; and 2 of 2 ice machines and 1 of 2 ice scoop holders were maintained in a clean condition to prevent the potential contamination of residents' food or beverages. […]

• No harm, potential for more than minimal, widespreadF812Jun 11, 2021

  Based on observation, record review and interview, the facility failed to ensure the kitchen equipment was maintained in clean condition; failed to ensure opened food items in the freezer and storeroom were covered or sealed to maintain freshness and prevent and potential cross contamination; employee washed their hands between dirty and clean tasks to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen and expired food items were promptly removed/ discarded by the expiration or use by dates, to prevent potential for food borne illness for residents who receive meals from 1 or 1 kitchen. […]

• No harm, potential for more than minimal, patternF656Jan 24, 2025

  49866 Based on interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to ensure the comprehensive care plan addressed and individualized appropriate care and services for 2 (Residents #27, #236,) of 26 sample mix residents reviewed for care plan. The findings are: 1. Review of Resident #27's Admission Record with a date of 4/3/2024 noted the resident had a diagnosis of dementia. Review of Resident #27's Care Plan, with a date of 4/3/2024 did not note dementia care or medications with black box warnings. Review of Resident #27's Admission Nursing Evaluation dated 6/19/2024 noted Diagnosis: 10. Neurological: Non-Alzheimer's dementia. B. […]