Washita Valley Living Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF801Apr 21, 2025

  Based on record review and interview, the facility failed to ensure the person designated to serve as the dietary supervisor had completed their certification for dietary management. The DON reported 34 residents received food from the kitchen. Findings: A dietary manager policy was not provided by the facility. A review of the dietary supervisor's ServeSafe certification showed a completion date of 02/25/25. There was no documentation the dietary supervisor was certified as a dietary manager. On 04/15/25 at 9:30 a.m., the dietary supervisor reported they had not completed the dietary manager certification training. The dietary manager reported they were unsure how long they had served as the dietary supervisor. […]

• No harm, potential for more than minimal, patternF880Apr 21, 2025

  Based on observation, record review, and interview, the facility failed to ensure proper personal protective equipment was used for 2 (#34 and #87) of 2 sampled residents reviewed for enhanced barrier precautions. The assistant director of nursing reported three residents required enhanced barrier precautions. Findings: 1. On 04/16/25 at 10:12 a.m., Resident #34 was observed in bed with an indwelling catheter in place. LPN #1 gathered catheter care supplies, washed their hands and applied gloves. LPN #1 was observed cleaning the resident's peri area and catheter tubing with a wash rag and peri wash. LPN #1 placed the dirty wash rag in a plastic bag and discarded gloves. […]

• No harm, potential for more than minimal, patternF684Oct 28, 2022

  Based on record review, observation, and interview the facility failed to ensure a system was in place for timely physician responses for lab and diagnostic test results for one (#36) of five residents reviewed for unnecessary medications. The Census and Conditions of Residents form documented 40 residents resided in the facility. Findings: The facility policy Lab and Diagnostic Test Results - Clinical Protocol: read in parts . Physician Responses .Time frames. A physician will respond within an appropriate time frame . within one hour regarding a lab test result requiring immediate notification, and by the end of the next office day to a non-emergency message regarding non-immediate lab test notification. Resident #36 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF761Oct 28, 2022

  Based on record review, observation, and interview, the facility failed to ensure: a. medications had not been left on top of the med cart unattended, and; b. medications stored in the medication room and on a medication cart were not outdated. The Resident Census and Conditions of Residents form documented 40 residents resided in the facility. Findings: The facility's policy Administering Medications read in parts, .No medications are kept on top of the cart. The cart must be clearly visible to the personnel administering medications . and must be inaccessible to residents or others passing by . On 10/27/22 at 8:20 a.m., the medication cart on the north hall was observed to be unattended. […]

• No harm, potential for more than minimal, patternF656May 27, 2021

  Based on observation, interview and record review, it was determined the facility failed to develop and implement a comprehensive care plan for two (#35 and #18) of five residents whose records were reviewed for Unnecessary Medication, [CONDITION(S)] Medication, and Medication Regimen Review. The facility reported 36 residents resided in the facility. Findings: The facilities policy for Antipsychotic Medication Use documented residents who are admitted from a hospital . The interdisciplinary team will: re-evaluate the use of the antipsychotic medication at the time of admission and/or within two weeks to consider whether or not the medication can be reduced, tapered, or discontinued. 1. […]