West Valley Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF770Jun 7, 2024

  Based on interview and record review, the facility failed to ensure that one of three sampled residents (Resident 1), who had a diagnosis of paroxysmal atrial fibrillation (A-fib: an irregular, often rapid heart rate that commonly causes poor blood flow) and was prescribed Coumadin (also known as Warfarin- a medication used to prevent blood clots [gel-like clumps of blood] from developing), was provided with the needed laboratory services when on 5/16/2024, a physician order for the laboratory draw of Prothrombin Time with an International Normalized Ratio (PT/ INR- a laboratory test that takes a measurement of the time taken for blood to clot; lab results are needed for the attending physician to determine what dose of Coumadin a resident should take) was not done for Resident 1. […]

• Actual harm, isolatedF600Nov 17, 2025

  Based on interview and record review, the facility failed to protect the resident's right to be free from physical abuse for two of two sampled Residents (Resident 1 and Resident 2) when on 10/30/2025, Resident 1 hit Resident 2 in the face using a right closed fist and Resident 2 hit Resident 1's face with the wheelchair footrest.The facility failed to:1. Ensure the facility's policy and procedure (P&P) titled Abuse, Neglect, Exploitation and Misappropriation Prevention Program, reviewed 5/28/2025, was followed which indicated residents have the right to be free from abuse.The resident abuse, neglect, and exploitation prevention program consists of a facility-wide commitment. […]

• Actual harm, isolatedF600Jan 25, 2024

  Based on interview and record review, the facility failed to protect a resident's right to be free from physical abuse (deliberately aggressive or violent behavior with the intention to cause harm) for one of four sampled residents (Resident 1) when on 12/25/2023, Resident 3 witnessed Resident 2 shoved (to push with force) and hit Resident 1's head and shoulder area. This deficient practice resulted in Resident 1 being subjected to physical abuse by Resident 2 while under the care of the facility. […]

• Actual harm, isolatedF689Jun 1, 2023

  Based on interview and record review, the facility failed to ensure one of three sampled residents, (Resident 1), who had history of falls in the facility, was confused and needed supervision and assistance to prevent falls and injuries, was provided with supervision while Resident 1 ' s assigned one to one sitter (when one caregiver is assigned to constantly monitor and observe a resident to prevent accident or falls) was away on break. As a result, on 5/19/2023 at 1:30 a.m., Resident 1 sustained an unwitnessed fall from bed sustaining a laceration (a deep cut or tear in the skin) to the right side of the head above the eyebrow, a skin tear (wound that happens when the layers of the skin separate) on the left thumb and a laceration on the right cheek below the eye. […]

• No harm, potential for more than minimal, patternF690Jul 30, 2026

  Based on observation, interview and record review, the facility failed to ensure residents who were incontinent (lacks voluntary control over urination) of bladder received appropriate treatment and services to prevent urinary tract infections (UTI- an infection in the bladder/urinary tract) for three of six sampled residents (Resident 114, Resident 80, Resident 15) when facility failed to: 1. Place Resident 114's indwelling urinary catheter (a tube inserted into the bladder to drain or collect urine) below the bladder. 2. Keep Resident 80's indwelling urinary catheter tubing from forming a dependent loop (a U-shaped sag in the drainage tubing that falls below the collection bag, creating a low point that disrupts gravity drainage and causes urine to pool). 3. […]