Spring Valley Health And Rehab Center

Penalties

• Aug 1, 2024 — Fine ($12,048)
• Apr 25, 2024 — Fine ($15,642)

Inspection findings

1. Dec 4, 2025 Health · 13 findings
   • Not serious Scope/severity D

     F0582 Resident Rights Deficiencies

     Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

     Corrected Jan 4, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0628 Resident Rights Deficiencies

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

     Corrected Jan 4, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Jan 4, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Jan 4, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Jan 4, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Jan 4, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Jan 4, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0699 Quality of Life and Care Deficiencies

     Provide care or services that was trauma informed and/or culturally competent.

     Corrected Jan 4, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0801 Nutrition and Dietary Deficiencies

     Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

     Corrected Jan 4, 2026 · 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 Jan 4, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0814 Nutrition and Dietary Deficiencies

     Dispose of garbage and refuse properly.

     Corrected Jan 4, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 4, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0882 Infection Control Deficiencies

     Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

     Corrected Jan 4, 2026 · CMS health inspection

2. Aug 8, 2025 Health · 1 finding
   • Not serious Scope/severity C Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Sep 2, 2025 · CMS health inspection

3. Aug 1, 2024 Health · 11 findings
   • Not serious Scope/severity D

     F0659 Resident Assessment and Care Planning Deficiencies

     Provide care by qualified persons according to each resident's written plan of care.

     Corrected Aug 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Aug 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Aug 29, 2024 · CMS health inspection

   • Serious Scope/severity G

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Aug 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Aug 29, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0758 Pharmacy Service Deficiencies

     Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

     Corrected Aug 29, 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 Aug 29, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 29, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Aug 29, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Aug 29, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Aug 29, 2024 · CMS fire safety

4. Apr 25, 2024 Health · 7 findings
   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Apr 2, 2024 · CMS health inspection

   • 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 May 25, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected May 25, 2024 · 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 May 25, 2024 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0838 Administration Deficiencies

     Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

     Corrected May 25, 2024 · CMS health inspection

   • Not serious Scope/severity F Complaint

     F0851 Administration Deficiencies

     Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

     Corrected May 25, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0947 Nursing and Physician Services Deficiencies

     Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

     Corrected May 25, 2024 · CMS health inspection

5. Jun 21, 2023 Health · 11 findings
   • 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 Jul 21, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

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

     Corrected Jul 21, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Jul 21, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Jul 21, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Jul 21, 2023 · CMS health inspection

   • Not serious Scope/severity D

     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 Jul 21, 2023 · CMS health inspection

   • Not serious Scope/severity E

     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 Jul 21, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 21, 2023 · CMS health inspection

   • Not serious Scope/severity E

     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 Jul 21, 2023 · CMS fire safety

   • Not serious Scope/severity E

     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 Jul 21, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Jul 21, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BRISCOE, DAVID — operational/managerial control, NOT APPLICABLE, since 12/01/2022
• BRISCOE, PATRICIA — operational/managerial control, NOT APPLICABLE, since 12/01/2022
• EMERSON, LUANN — managing control - governing body, NOT APPLICABLE, since 04/20/2015
• EMERSON, LUANN — operational/managerial control, NOT APPLICABLE, since 04/20/2015
• ERICKSON, ELIZABETH — managing control - governing body, NOT APPLICABLE, since 04/20/2021
• FIELD, THOMAS — adp of the snf, NOT APPLICABLE, since 11/10/2025
• FIELD, THOMAS — operational/managerial control, NOT APPLICABLE, since 11/10/2025
• HENNESSEY, ERIN — operational/managerial control, NOT APPLICABLE, since 12/01/2022
• HUEPFEL, MATTHEW — managing control - governing body, NOT APPLICABLE, since 04/19/1994
• KOCH, THERESA — corporate officer, NOT APPLICABLE, since 04/15/2025
• KOCH, THERESA — managing control - governing body, NOT APPLICABLE, since 04/18/2023
• LUKES, RUTH — managing control - governing body, NOT APPLICABLE, since 04/20/2021
• O'CONNELL, RICHARD — managing control - governing body, NOT APPLICABLE, since 04/17/2009
• PELZ, NATHAN — managing control - governing body, NOT APPLICABLE, since 04/15/2025
• ROGOTZKE, AMBER — operational/managerial control, NOT APPLICABLE, since 12/01/2022
• SHVETZOFF, SERGEI — operational/managerial control, NOT APPLICABLE, since 12/01/2022
• SHVETZOFF, TAMI — operational/managerial control, NOT APPLICABLE, since 12/01/2022
• WALLIN, ANDREA — corporate director, NOT APPLICABLE, since 11/15/2025
• WALLIN, ANDREA — trustee of the snf, NOT APPLICABLE, since 11/15/2025
• ZURBUCHEN, RYAN — adp of the snf, NOT APPLICABLE, since 03/07/2025
• ZURBUCHEN, RYAN — operational/managerial control, NOT APPLICABLE, since 03/07/2025
• BREMER BANK NATIONAL ASSOCIATION — 5% or greater mortgage interest, NOT APPLICABLE, since 07/15/2019
• HEALTH DIMENSIONS CONSULTING INC — adp of the snf, NOT APPLICABLE, since 12/01/2022
• HEALTH DIMENSIONS CONSULTING INC — operational/managerial control, NOT APPLICABLE, since 12/01/2022
• VILLAGE OF SPRING VALLEY — 5% or greater direct ownership interest, 100%, since 07/15/2019