Valley Vista Care Center of St Maries

In the surveyor’s words

From the most serious findings on record at Valley Vista Care Center of St Maries, in the surveyor’s own words.

• Actual harm, isolatedF600Dec 4, 2023

  Based on policy review, record review, review of the State Survey Agency's Long-Term Care Reporting Portal, and staff interview, it was determined the facility failed to ensure residents' rights were protected to be free from abuse and neglect. This was true for 6 of 16 residents (Residents #5, #24, #36, #299, #300, and #349) reviewed for abuse and neglect. This failure placed all residents at risk of ongoing abuse and neglect, and potential physical and psychosocial harm. Findings include: 1. A facility reported incident investigation, initiated 7/9/23, documented CNA #4 and CNA #5 did not empty Resident #5's catheter bag during the 7/8/23 night shift. […]

• Actual harm, isolatedF610Dec 4, 2023

  Based on policy review, record review, review of the State Survey Agency's Long-Term Care Reporting Portal, and staff interview, it was determined the facility failed to ensure allegations of abuse were thoroughly investigated. This was true for 6 of 16 residents (#36, #298, #300, #348, #349, and #350) reviewed for abuse. This failure created the potential for residents to be subjected to ongoing abuse without detection and protective measures implanted by the facility. Findings include: The facility's Reducing the Threat of Abuse and Neglect policy, revised December 2022, stated an alleged abuse or neglect investigation should include the following: - Review of the incident - Interview with the person reporting the incident - Interviews with any witnesses to the incident - Interview with… […]

• Actual harm, isolatedF684Dec 4, 2023

  Based on observation, record review, and staff interview, the facility failed to ensure resident-centered care and treatment were provided timely and bowel care administered per physician orders in accordance with professional standards of practice. This was true for 2 of 23 Residents (#25 and #352) whose records were reviewed. These failures caused harm to Resident #352 when there was a delay in treatment and subsequent decline in her health and put Resident #25 at risk of adverse effects when she did not receive bowel care as ordered. Findings include: 1. Resident #352 was readmitted to the facility on [DATE] with multiple diagnoses including dementia with behavioral disturbances. […]

• No harm, potential for more than minimal, widespreadF727Dec 4, 2023

  Based on facility document review and staff interview, it was determined the facility failed to ensure they employed an RN as the full-time DNS. The failure to have a full-time RN/DNS placed residents at risk of inadequate care and supervision of their medical status for a census of 44 residents. Findings include: The facility's job description for the Director of Nursing Services, approved by the Administrator on 3/9/20, documented Responsible for the management of the nursing services in the long-term care facility and directs nursing activities . […]

• No harm, potential for more than minimal, widespreadF812Dec 4, 2023

  Based on observation, policy review, and staff interview, it was determined the facility failed to ensure food items were dated and labeled and hygiene practices followed. This failure had the potential to affect 44 of 44 residents residing in the facility who consumed food prepared by the facility at risk of adverse health outcomes, including food-born illnesses. Findings include: 1. The facility's Food Storage policy, undated, stated once products were opened, a use by date label must be added. This policy was not followed. On 11/27/23 at 4:00 PM, during a kitchen inspection, 7 of 18 seasoning containers appeared cloudy and moist. 7 of the 18 opened seasoning containers did not have a use by date on the container. […]