Inspection Reports for Sun Valley Rehabilitation and Healthcare Center

2902 S 77 Sunshine Strip, Harlingen, TX 78550, United States, TX, 78550

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

43% better than Texas average
Texas average: 3.5 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024
2025
Inspection Report Routine Deficiencies: 4 Jul 9, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident assessments, care planning, pharmaceutical services, infection prevention and control, and other facility operations.
Findings
The facility was found deficient in ensuring accurate resident assessments, developing and implementing comprehensive care plans, proper pharmaceutical storage and labeling, and maintaining an effective infection prevention and control program. Specific deficiencies included failure to include an active diagnosis of Anxiety in a resident's assessment, incorrect care plan interventions for vision impairment, expired influenza vaccines, and failure to don appropriate PPE for a resident under enhanced barrier precautions.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 4
Deficiencies (4)
DescriptionSeverity
Failed to ensure the assessment accurately reflected the resident's status for 1 of 8 residents; Resident #37's quarterly MDS assessment did not include a diagnosis of Anxiety.Level of Harm - Minimal harm or potential for actual harm
Failed to develop and implement a comprehensive person-centered care plan for Resident #59 that included correct interventions for vision impairment.Level of Harm - Minimal harm or potential for actual harm
Failed to ensure all influenza vaccine single-dose, pre-filled syringes were not past their expiration date in 5 of 5 syringes reviewed.Level of Harm - Minimal harm or potential for actual harm
Failed to maintain an infection prevention and control program; LVN C failed to don PPE before entering Resident #11's room who was under enhanced barrier precautions.Level of Harm - Minimal harm or potential for actual harm
Report Facts
Residents affected: 1 Residents affected: 1 Residents affected: 5 Residents affected: 1
Employees Mentioned
NameTitleContext
MDS NurseResponsible for completing MDS assessments and acknowledged oversight in Resident #37's assessment and Resident #59's care plan interventions
Director of Nursing (DON)Confirmed deficiencies related to MDS assessments, pharmaceutical services, and infection control; provided interviews regarding facility policies and practices
RN AInterviewed regarding expired influenza vaccines
LVN CFailed to don PPE before entering Resident #11's room under enhanced barrier precautions
CNA AProvided information about Resident #59 not wearing glasses
CNA BProvided information about Resident #59 not wearing glasses
Inspection Report Deficiencies: 2 May 31, 2024
Visit Reason
The inspection was conducted to assess compliance with care planning requirements, specifically to determine if the facility developed and implemented comprehensive, person-centered care plans for residents, including timely updates to reflect changes in resident needs.
Findings
The facility failed to develop and implement a comprehensive care plan for one resident and did not timely update another resident's care plan to reflect an order for an alarm guard, potentially placing residents at risk of unmet needs.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 2
Deficiencies (2)
DescriptionSeverity
Failed to develop and implement a comprehensive person-centered care plan for Resident #39.Level of Harm - Minimal harm or potential for actual harm
Failed to ensure Resident #31's care plan was revised timely to reflect an order for an alarm guard.Level of Harm - Minimal harm or potential for actual harm
Report Facts
Residents reviewed for care plans: 8 Residents affected: 2 BIMS score: 3
Employees Mentioned
NameTitleContext
MDS Coordinator EMDS CoordinatorInterviewed regarding delay in updating Resident #31's care plan
LVN FLicensed Vocational NurseInterviewed about use of care plans to communicate focus areas, goals, and interventions
DONDirector of NursingInterviewed about Resident #31's transfer and alarm guard order
Inspection Report Annual Inspection Deficiencies: 0 Mar 10, 2023
Visit Reason
The inspection was conducted as an annual survey of Sun Valley Rehabilitation and Healthcare Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.

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