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Pine Valley reports state survey citations; board outlines corrections
Summary
Administrators summarized a recent state survey at Pine Valley, listing several citations and the corrective steps taken or planned, including medication administration adjustments, background-check record updates, life-safety fixes and appliance/utility corrections.
Pine Valley administrators reported results from a recent state survey and described corrective actions the facility has taken or scheduled.
Brittany Helm described several citations identified during the survey and the steps taken to address them. Items included medication-administration timing errors that exceeded the allowed tolerance (some doses were approximately 20 minutes late); the facility said it adjusted certain medication schedules (for example, moving some medications to 8:30 a.m. or to 5:30 a.m. for those needing pre-meal dosing) and that follow-up audits showed improvement. The facility also received a citation for leaving some medications at bedside for residents unable to self-administer; staff completed reassessments.
Surveyors noted missing background-check documentation for hires in one year (2023); administrators said they located background checks for other years and have placed records in a centralized binder. Food-service and sanitation citations included undated opened food boxes and several days of dishwasher temperature records below required thresholds; staff said they corrected procedures and documentation. Infection-prevention observations included one LPN observed during wound care who omitted some hand-hygiene steps; the facility reported retraining.
Life-safety items included incomplete emergency-operation binders (staff created binders and updated the emergency plan), missing semiannual sprinkler-system testing (the facility contracted a vendor to perform semiannual tests), emergency-light battery tests that were not on the required schedule (corrected with a weekly test log and an annual 90-minute load test), and use of non–medical-grade electrical receptacles in clinical areas (the facility ordered and installed green-dot medical receptacles).
Helm described the survey as an opportunity to improve policies and procedures and said most findings were corrected through plan-of-correction steps; the facility indicated it is now in compliance with the cited items.
