Barton Valley Rehabilitation And Healthcare Center

Inspection findings

1. Apr 16, 2026 Health · 14 findings
   • 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 May 1, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

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

     Corrected May 1, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected May 1, 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 May 1, 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 May 1, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0698 Quality of Life and Care Deficiencies

     Provide safe, appropriate dialysis care/services for a resident who requires such services.

     Corrected May 1, 2026 · 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 May 1, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 1, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected May 1, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected May 15, 2026 · CMS fire safety

   • Not serious Scope/severity E

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected May 15, 2026 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected May 15, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected May 15, 2026 · CMS fire safety

2. Jan 20, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Feb 13, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     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 Feb 13, 2026 · CMS health inspection

3. Jan 2, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Jan 25, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Jan 25, 2026 · CMS health inspection

4. Feb 26, 2025 Health · 5 findings
   • Not serious Scope/severity E

     F0550 Resident Rights Deficiencies

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

     Corrected Mar 26, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0636 Resident Assessment and Care Planning Deficiencies

     Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

     Corrected Mar 26, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Mar 26, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 26, 2025 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

5. Feb 6, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     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 Mar 6, 2025 · CMS health inspection

6. Dec 6, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0561 Resident Rights Deficiencies

     Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

     Corrected Jan 6, 2025 · CMS health inspection

7. Mar 11, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Apr 10, 2024 · CMS health inspection

8. Jan 19, 2024 Health · 5 findings
   • Not serious Scope/severity D Complaint

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Feb 19, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected Feb 19, 2024 · CMS health inspection

   • Not serious Scope/severity E

     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 Feb 19, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

   • Not serious Scope/severity D

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Jan 19, 2025 · CMS fire safety

Owners and managers (as published by CMS)

• BOLT, BRETTON — 5% or greater indirect ownership interest, since 10/08/2020
• FALLON, JOHN — corporate officer, NOT APPLICABLE, since 10/08/2020
• HERDRICH, WILLIAM — corporate director, NOT APPLICABLE, since 10/08/2020
• KIRLEY, FRANCIS — 5% or greater indirect ownership interest, since 10/08/2020
• KIRLEY, FRANCIS — corporate officer, NOT APPLICABLE, since 10/08/2020
• KIRLEY, FRANCIS — corporate director, NOT APPLICABLE, since 10/08/2020
• KIRLEY, FRANCIS — operational/managerial control, NOT APPLICABLE, since 12/01/2020
• LEE, BRIAN — corporate officer, NOT APPLICABLE, since 10/08/2020
• MILLER, KELSEY — w-2 managing employee, NOT APPLICABLE, since 12/01/2020
• REID, JOHN — corporate director, NOT APPLICABLE, since 10/08/2020
• RINER, MEERA — corporate officer, NOT APPLICABLE, since 10/08/2020
• RINER, MEERA — operational/managerial control, NOT APPLICABLE, since 12/01/2020
• RINER, MEERA — corporate director, NOT APPLICABLE, since 10/08/2020
• NEXION HEALTH LEASING, INC. — operational/managerial control, NOT APPLICABLE, since 12/01/2020
• NEXION HEALTH LEASING, INC. — 5% or greater indirect ownership interest, since 10/08/2020
• NEXION HEALTH OF OHI INC — operational/managerial control, NOT APPLICABLE, since 12/01/2020
• NEXION HEALTH OF OHI INC — 5% or greater direct ownership interest, 100%, since 10/08/2020
• NEXION HEALTH, INC. — 5% or greater indirect ownership interest, since 10/08/2020
• NEXION HEALTH, INC. — operational/managerial control, NOT APPLICABLE, since 12/01/2020