Wellspring Alh at Val Vista.

“Based on documentation review, record review, and interview, the health care institution failed to administer a training program for all staff regarding fall prevention and fall recovery, which included initial training and continued competency training, for two of three staff sampled. Findings include: 1. A review of the facility's policies and procedures revealed a policy titled" Fall Prevention and Fall Recovery." This policy stated," Caregiver training: Training staff regarding fall prevention and fall recovery is done once a year." 2. A review of E1's personnel record revealed no documented fall prevention and fall recovery training. 3. A review of E2's personnel record revealed no documented fall prevention and fall recovery training. 4. In an exit interview with E1, the findings were reviewed, and no additional information was provided.”

“Based on documentation review and interview, the health care institution’s chief administrative officer failed to implement tuberculosis (TB) infection control activities that included annually assessing the health care institution’s risk of exposure to infectious tuberculosis. Findings include: 1. A review of the facility’s documentation revealed no completed documentation of a TB facility risk assessment. 2. In an interview, E1 reported that E1 was unsure where the TB facility risk assessment documentation was. 3. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on observation, documentation review, and interview, the manager failed to ensure documentation was maintained of the caregivers and assistant caregivers working each day, including the hours worked by each.  The deficient practice posed a risk as there was no documentation to identify if qualified staff were present each day to ensure the health and safety of residents. Findings include: 1. During an environmental inspection of the facility, the Compliance Officer observed E3 in the kitchen. 2. A review of the facility’s February and March 2026 work schedule revealed a calendar with one caregiver's first initial only, daily next to the 7:00 am to 7:00 pm shift; however, the 7:00 pm to 7:00 am shift was left blank. 3. In an interview, E1 reported that staff are to sign their initials on their scheduled days. E1 also confirmed that E3 was working the day of the inspection and should have been included on the calendar. E1 reported that E1 was unaware that assistant caregivers were to be included on the schedule. 4. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”