Mountain Valley Living Center

The facility failed to administer medications as ordered for two residents. Specifically, staff failed to follow instructions for various medications, including a beta blocker, an antidiabetic combination, and a medication for overactive bladder, as evidenced by discrepancies between physician orders and administration records.

The facility failed to administer medications as ordered for two residents. Specifically, for Resident #1, the facility documented holding a dose of carvedilol when the resident's blood pressure readings did not meet the required hold parameters.

The facility failed to maintain matching therapeutic diet menus for food service guidance for 2 of 4 sampled residents. Specifically, there were no menus available for consistent carbohydrate or chopped meats diets, despite residents having physician orders for these specific dietary needs.

The facility failed to maintain matching therapeutic diet menus for food service guidance. Specifically, two out of four sampled residents with specific dietary needs, such as consistent carbohydrate and chopped meats diets, did not have corresponding therapeutic menus available in the kitchen.

The facility failed to maintain hot water temperatures at all fixtures between 100 and 116 degrees Fahrenheit. Specifically, 8 of 11 sampled sink fixtures were found to have temperatures ranging from 124 to 132 degrees Fahrenheit. This included a documented failure to correct a previously cited high temperature in resident room #105.

The facility failed to maintain hot water temperatures within the required range of 100 to 116 degrees Fahrenheit. Specifically, 8 out of 11 sampled sink fixtures were found to have temperatures ranging from 124 to 132 degrees Fahrenheit.

The facility failed to ensure that staff members were tested for tuberculosis disease upon hire. Specifically, record reviews of Staff A and Staff B revealed no documentation of a required TB skin test performed after their respective hire dates.

The facility failed to ensure that three sampled staff members (Staff A, B, and C) had documentation of a second tuberculosis (TB) skin test following their hire dates. This lack of documentation means the facility could not verify that these employees were free of tuberculosis disease as required by regulation.