Pine Valley Community Village

Penalties

• Jul 22, 2025 — Fine ($22,925)
• Mar 31, 2025 — Fine ($74,386)

Inspection findings

1. Jan 14, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

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

     Corrected Jan 29, 2026 · CMS health inspection

2. Jul 22, 2025 Health · 6 findings
   • Serious Scope/severity J Complaint

     F0678 Quality of Life and Care Deficiencies

     Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

     Corrected Jul 3, 2025 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0730 Nursing and Physician Services Deficiencies

     Observe each nurse aide's job performance and give regular training.

     Corrected Aug 6, 2025 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0941 Administration Deficiencies

     Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

     Corrected Aug 6, 2025 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0944 Administration Deficiencies

     Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

     Corrected Aug 6, 2025 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0945 Infection Control Deficiencies

     Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

     Corrected Aug 6, 2025 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0946 Administration Deficiencies

     Provide training in compliance and ethics.

     Corrected Aug 6, 2025 · CMS health inspection

3. Jun 30, 2025 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Jul 21, 2025 · CMS health inspection

4. May 22, 2025 Fire Safety · 14 findings
   • Not serious Scope/severity F

     E0013 Emergency Preparedness Deficiencies

     Develop Emergency Preparedness policies and procedures.

     Corrected Jun 20, 2025 · CMS fire safety

   • Not serious Scope/severity F

     E0033 Emergency Preparedness Deficiencies

     Establish methods for sharing information.

     Corrected Jun 20, 2025 · CMS fire safety

   • Not serious Scope/severity D

     F0554 Resident Rights Deficiencies

     Allow residents to self-administer drugs if determined clinically appropriate.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 13, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Jun 20, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0291 Egress Deficiencies

     Install emergency lighting that can last at least 1 1/2 hours.

     Corrected Jun 20, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Jun 20, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 20, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Jun 20, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0912 Gas, Vacuum, and Electrical Systems Deficiencies

     Have power receptacles that are properly grounded.

     Corrected Jun 20, 2025 · CMS fire safety

5. Mar 31, 2025 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Apr 18, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Apr 18, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0729 Nursing and Physician Services Deficiencies

     Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

     Corrected Apr 18, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0730 Nursing and Physician Services Deficiencies

     Observe each nurse aide's job performance and give regular training.

     Corrected Apr 18, 2025 · CMS health inspection

6. Apr 3, 2024 Health · 6 findings
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Apr 22, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Apr 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Apr 23, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0362 Smoke Deficiencies

     Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

     Corrected Apr 23, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Apr 23, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Apr 23, 2024 · CMS fire safety

7. Jan 25, 2023 Health · 7 findings
   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 23, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0131 Construction Deficiencies

     Meet requirements for sections of health care facilities separated by fire resistive construction.

     Corrected Jan 27, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Feb 13, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jan 30, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Feb 9, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jan 27, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Feb 9, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• CARROW, STEPHEN — managing control - governing body, NOT APPLICABLE, since 04/16/2024
• COUEY, MARC — managing control - governing body, NOT APPLICABLE, since 04/16/2024
• ENGEL, LARRY — managing control - governing body, NOT APPLICABLE, since 04/16/2024
• FLEMING, JULIA — managing control - governing body, NOT APPLICABLE, since 04/16/2024
• HENDRICKS, ALAYNE — managing control - governing body, NOT APPLICABLE, since 04/16/2025
• KRAMER, SANDRA — managing control - governing body, NOT APPLICABLE, since 04/16/2024
• MCKEE, RICHARD — managing control - governing body, NOT APPLICABLE, since 04/16/2024
• MILLER, MARY — managing control - governing body, NOT APPLICABLE, since 04/16/2024
• PAULUS, BRITTANY — operational/managerial control, NOT APPLICABLE, since 03/05/2025
• PAULUS, BRITTANY — adp of the snf, NOT APPLICABLE, since 03/05/2025
• PAULUS, BRITTANY — corporate director, NOT APPLICABLE, since 03/05/2025
• SCHOONOVER, RANDY — managing control - governing body, NOT APPLICABLE, since 05/20/2025
• SEVERSON, KERRY — managing control - governing body, NOT APPLICABLE, since 04/16/2024
• SIDHU, SARFRAZ — adp of the snf, NOT APPLICABLE, since 01/01/2022
• SIDHU, SARFRAZ — operational/managerial control, NOT APPLICABLE, since 01/01/2022
• THOMPSON, TIFFANY — managing control - governing body, NOT APPLICABLE, since 10/20/2025
• TURK, DAVID — managing control - governing body, NOT APPLICABLE, since 04/16/2024
• WILLIAMSON, STEVE — managing control - governing body, NOT APPLICABLE, since 04/16/2024
• COUNTY OF RICHLAND — 5% or greater direct ownership interest, 100%, since 03/09/1978
• COUNTY OF RICHLAND — adp of the snf, NOT APPLICABLE, since 03/09/1978
• COUNTY OF RICHLAND — operational/managerial control, NOT APPLICABLE, since 03/09/1978