Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Protection Valley Manor during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and a high risk for elopement exited the facility through an unsecured and unalarmed door without staff knowledge. The resident was not wearing her WanderGuard device at the time, and staff had not included elopement risk interventions in her initial care plan. The door override code was widely known among staff, and checks for WanderGuard placement were not consistently performed, leading to the resident's unsupervised exit.
Surveyors found that food items, including an open box of expired popsicles and a bag of hamburger left thawing for an extended period, were not properly labeled, dated, or stored according to facility policy. The Dietary Manager confirmed these lapses in food storage and handling practices.
Staff did not consistently follow Enhanced Barrier Precautions, as glove changes were performed without hand hygiene and required signage was missing from the doors of rooms for residents on EBP. Instead, the list of affected residents was only posted in the staff breakroom, and staff confirmed that signage and supplies should have been present in resident rooms according to facility policy.
Failure to Prevent Elopement Due to Unsecured Door and Lack of Supervision
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment and a high risk for elopement was able to exit the facility without staff knowledge or supervision. The resident, who had dementia with psychotic disturbances, hallucinations, delusions, and a documented history of wandering, was admitted from a private residence where she had previously exhibited exit-seeking behaviors. Upon admission, assessments identified her as high risk for elopement, but her initial care plan did not include interventions to address this risk. On the day of the incident, the resident exited through an unlocked and unalarmed front door. The door, which was typically secured, had its lock override implemented, leaving it unsecured and the alarm disabled. Staff were unaware that the door was left in this state, and the resident was able to leave the building. The resident was later found by an off-duty staff member walking outside, approximately two blocks away from the facility, and was returned without injury. At the time of the incident, the resident was not wearing her WanderGuard device, as she had removed it from her wrist and staff had not noticed its absence. Interviews and documentation revealed that staff were not consistently checking for the placement of the WanderGuard device prior to the incident, and the override code for the door was widely known among staff, contributing to the failure to secure the door. The facility's elopement risk policy required individualized care plans and secure alarmed doors for residents at risk, but these measures were not implemented for this resident prior to the elopement event.
Failure to Store and Handle Food in Accordance with Sanitary Standards
Penalty
Summary
Surveyors observed that the facility failed to store, prepare, and serve food in a sanitary manner, as required to prevent possible food-borne illness. During an initial tour of the main kitchen, refrigerator, and dry food storage areas with the Dietary Manager, an unsealed and open box of popsicles with an expiration date of 5/31/24 was found in the snack freezer, and a ten-pound bag of hamburger labeled as thawing since 2/23/24 was found in the walk-in freezer. The Dietary Manager confirmed that staff are expected to label and date opened food items, and acknowledged the concerns. Facility policy requires that residents' personal items in the snack refrigerator be properly labeled, dated, monitored, and disposed of as needed.
Failure to Implement and Identify Enhanced Barrier Precautions
Penalty
Summary
Staff failed to consistently implement Enhanced Barrier Precautions (EBP) for residents identified as requiring infection control interventions. Observations revealed that certified nurse aides changed gloves between dirty and clean tasks without performing hand hygiene, despite acknowledging that hand hygiene should have been performed. Additionally, there was a lack of visible signage on the doors of rooms for residents on EBP, which is necessary to inform staff and visitors of required precautions. Instead, the list of residents on EBP was only available in the staff breakroom, and not at the point of care. Interviews with staff, including certified nurse aides, a licensed nurse, and an administrative nurse, confirmed that EBP signage and supplies should have been present in resident rooms, but some residents on the EBP list did not have the required signs on their doors. The facility's own EBP policy required targeted gown and glove use during high-contact care activities to prevent the transmission of multidrug-resistant organisms, but these protocols were not consistently followed. The failure to adhere to infection prevention protocols and to properly identify EBP residents at the point of care constituted the deficiency.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 23 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Protection
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pioneer Lodge | 9.8 mi | ★★★★★ | 23 | 0 |
| Western Skilled Nursing And Therapy | 25.5 mi | ★★★★★ | 0 | 0 |
| Hill Top House | 25.8 mi | ★★★★★ | 0 | 0 |
| Minneola District Hospital Ltcu | 33.6 mi | ★★★★★ | 0 | 0 |
| Haviland Operator, Llc | 35.8 mi | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.