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Inspection Reports for Pleasant Valley Shelter Home

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Inspection Report Summary

The most recent inspection on August 11, 2022, identified several deficiencies related to housekeeping, behavior plans, documentation, and menu compliance. Earlier inspections showed some life safety and administrative issues, such as incomplete relocation agreements and staff training gaps, but these were different in nature from the later care and maintenance concerns. The main themes of deficiencies involved facility cleanliness and maintenance, behavior management for residents, and adherence to dietary plans. There were no complaint investigations listed in the available reports, and no fines or enforcement actions were noted. The inspection history suggests ongoing challenges with operational and care standards without a clear pattern of improvement or worsening.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

49% better than Idaho average
Idaho average: 7.9 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
Unclassified
State average

Inspection Report

Follow-Up
Deficiencies: 5 Date: Aug 11, 2022
Visit Reason
The inspection was a health care licensure and follow-up survey conducted to assess compliance with regulatory requirements and verify correction of previous deficiencies.
Findings
The facility was found to have multiple deficiencies including poor housekeeping and maintenance, lack of behavior plans for residents exhibiting maladaptive behaviors, inconsistent documentation of change of condition assessments, failure to follow a dietician approved menu, and inadequate behavior documentation.
Deficiencies (5)
Facility was not maintained in a clean, safe and orderly manner with issues such as peeling paint, broken furniture, dirty bathrooms, and stained carpets.
Resident #1 exhibited multiple maladaptive behaviors without a developed behavior plan; medication adjustments were made without prior behavior interventions.
Change of condition assessments for residents were not consistently documented despite known health issues.
No behavior plan was developed with interventions for Resident #1's maladaptive behaviors.
Facility did not follow a dietician approved menu; substitutions were made on 29 of 31 days in the menu cycle.
Report Facts
Menu substitutions: 29 Menu cycle days: 31
Employees mentioned
NameTitleContext
Joy CookAdministratorNamed as facility administrator and licensed practical nurse involved in statements about behavior plans and assessments
Bradley PerrySurvey Team LeaderNamed as survey team leader conducting the inspection

Inspection Report

Life Safety
Deficiencies: 3 Date: Sep 23, 2021
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey of the Pleasant Valley Shelter Home.
Findings
The facility was found to have non-core issues including only one relocation agreement instead of the required two, and fire and life safety concerns such as staff not being instructed on the disaster plan bi-monthly and a laundry door locking mechanism that is not readily operable from the inside.
Deficiencies (3)
Only one relocation agreement on site instead of the required two.
Facility staff not instructed on the disaster plan and reviewed bi-monthly as required.
Laundry door equipped with a hasp locking creating a locking arrangement not readily operable from the inside.
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