Shepherd of the Valley Rehabilitation and Wellness

July 30, 2026 · Standard inspection · 12 citations

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed before the inspection

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Risk of harm, no one hurt, a pattern (level E)Pharmacy ServicePlan to fix it accepted

• Provide activities to meet all resident's needs.

  Risk of harm, no one hurt, a pattern (level E)Quality of Life and CarePlan to fix it accepted

• Provide and implement an infection prevention and control program.

  Risk of harm, no one hurt, a few residents (level D)Infection ControlPlan to fix it accepted

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it accepted

• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

• Assess the resident when there is a significant change in condition

  Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintPlan to fix it accepted

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningPlan to fix it accepted

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsPlan to fix it accepted

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintPlan to fix it accepted

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintPlan to fix it accepted

• Provide safe and appropriate respiratory care for a resident when needed.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CarePlan to fix it accepted

March 13, 2026 · Complaint investigation · 3 citations

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintAlready fixed by Feb 16, 2026

• Provide and implement an infection prevention and control program.

  Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Apr 3, 2026

• Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 3, 2026