Belleview Valley Nursing Home

In the surveyor’s words

From the most serious findings on record at Belleview Valley Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, patternF880Nov 9, 2023

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program to provide a safe and sanitary environment to help prevent the potential spread of COVID-19 (an acute respiratory illness in humans caused by the Coronavirus, SARS-CoV-2) and other infections, when staff failed to follow acceptable infection control practices for COVID-19. The facility failed to implement infection control mitigation strategies, including separating 25 residents (Resident #1, #4, #10, #12, #15, #16, #17, #18, #22, #23, #24, #28, #33, #34, #37, #38, #40, #42, #44, #46, #49, #50, #52, #54, and #57) who had tested positive for COVID-19 from 32 residents (Resident #2, #3, #5, #6, #7, #8, #9, #11, #13, #14, #19, #20, #21, #25, #26, #27, #29, #30, #31,… […]

• Immediate jeopardy, isolatedF689Oct 21, 2025

  Based on observation, interview, and record review, the facility failed to provide adequate supervision and to ensure the resident environment was free from accident hazards for one resident (Resident #1), who had been assessed as needing supervision for smoking, was observed smoking in his/her room on several occasions while receiving supplemental oxygen via a nasal cannula, and failed to investigate the source of the smoking materials (lighters and cigarettes). The resident sustained 2nd degree burns while smoking in his/her room, putting the entire building and its occupants in danger. The facility census was 86. The administration was notified on 10/20/25 at 4:55 P.M. of an Immediate Jeopardy (IJ) which began on 10/13/25. […]

• Immediate jeopardy, isolatedF600Jul 18, 2024

  Based on observation, record review and interview, the facility failed to ensure one resident (Resident #2) was free from physical abuse, and 11 other vulnerable residents at an increased likelihood for abuse to occur when facility staff placed residents with a history of physical and verbal altercations and unstable, aggressive behaviors towards other residents, on the secured unit which housed 12 residents with dementia, receiving hospice care, or requiring total care from staff. The aggressive residents were placed on the secured unit for 24 hours to 5 days until the administrator felt they were no longer a risk to residents outside the locked unit. Resident #1 was placed on the secured unit after returning from a hospital evaluation due to physical aggression. […]

• Immediate jeopardy, isolatedF600Apr 16, 2024

  Based on observation, interview, and record review, the facility staff failed to ensure residents were free from abuse when the maintenance supervisor (MS) grabbed the arm and wrist of one resident (Resident #91) out of 20 sampled residents. The resident had a history of mental health support needs, including behavioral problems. During a behavioral episode, the MS grabbed the resident's arms/wrists and struggled to physically restrain the resident which resulted in bruising to the resident's right upper arm. The facility failed to take appropriate steps to protect the resident from additional abuse and allowed the MS to continue to work around the residents. The facility census was 96. […]

• Immediate jeopardy, isolatedF610Apr 16, 2024

  Based on observation, interview and record review, the facility failed to thoroughly investigate an allegation of staff to resident abuse and failed to implement interventions to prevent further abuse from occurring for one resident (Resident #91) out of 20 sampled residents after the Maintenance Supervisor (MS) grabbed the resident's arm and wrist in a restraining manner that resulted in a physical struggle and bruising to the resident's right upper arm. The facility also failed to follow their policy, resulting in the MS continuing to work around the resident. The facility census was 96. The administrator was notified on 04/09/24 at 9:50 A.M. of an Immediate Jeopardy (IJ) which began on 04/03/24. The IJ was removed on 04/10/24, as confirmed by surveyor onsite verification. […]