Embassy of Valley View

In the surveyor’s words

From the most serious findings on record at Embassy of Valley View, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880May 30, 2024

  Based on review of the facility Water Management Program, review of the Centers for Disease Control Prevention(CDC) guidance for Legionella prevention, staff interview, and review of facility policy, the facility failed to ensure an effective Water Management Program was in place to prevent and/or detect the presence of Legionella in the water supply. This had the potential to affect all 47 residents residing in the facility. The facility census was 47. Findings include: Review of the undated facility diagram titled How to Monitor Your Control Measures, revealed disinfectant levels were to be checked where the pipe from the intersection of the road entered facility property and at sink, shower, and tub faucets used by residents. […]

• No harm, potential for more than minimal, widespreadF727Mar 7, 2022

  Based on employee time sheet review and staff interview, the facility failed to have a Registered Nurse on duty for eight consecutive hours. This affected 41 of 41 residents in the building. The facility census was 41. Findings include: Review of the facility employee time sheet on 03/02/22 revealed on 02/12/22, Registered Nurse (RN) #105 was the only RN on duty and worked from 7:00 A.M. to 2:45 P.M. for 7.75 hours that day. Review of the facility employee time sheet on 03/02/22 revealed on 02/13/22, Registered Nurse (RN) #105 was the only RN on duty and worked from 7:00 A.M. to 2:45 P.M. for 7.75 hours that day. Review of the facility employee time sheet on 03/02/22 revealed on 02/19/22, Registered Nurse (RN) #120 was the only RN on duty and worked from 7:00 A.M. to 12:00 P.M. […]

• No harm, potential for more than minimal, widespreadF812Mar 7, 2022

  Based on observations, staff interview, policy review, temperature log review, infection control log review, manufacture's recommendation review, the facility failed to ensure sanitation was provided when cleaning dishes and food was stored properly. This affected 41 of 41 residents that receive food from the kitchen. Facility census was 41. Findings include: Observation on 02/28/22 at 9:03 A.M., revealed an unopened can of fruit cocktail with multiple dents on the rim of the can, a box of 10-15 zucchini which had become moldy; a bag of mozzarella shredded cheese open to air and unsealed in the refrigerator; and a bag of frozen french fries was open to air and undated in the freezer, with french fries falling out of the bag onto other items. […]

• No harm, potential for more than minimal, widespreadF880Mar 7, 2022

  Based on observations, staff interviews, and policy review, the facility failed to ensure clean laundry was protected from crossed contamination with soiled laundry. This had the potential to affect 41 of 41 residents at the facility. The facility census was 41. Findings include: Observation on 03/01/22 at 11:32 A.M., of the facility laundry room revealed two doors side by side when entering the laundry room, however, the facility utilized one of the doors when entering the laundry room (the other door was blocked by a table and soiled laundry). The single washer was located inside upon entry into the laundry room facing the door. A few inches to the left of the washer were two-32 gallon which contained soiled laundry. […]

• No harm, potential for more than minimal, patternF758May 30, 2024

  Based on record reviews, staff interview, review of the Food and Drug Administration (FDA) Black Box Warning, review of the Highlights of Prescribing Information, review of [NAME] Pocket Drug Guide for Nurses, and review of facility policy, the facility failed to ensure adequate indications for the use of antipsychotic medications. This affected four (#9, #10, #34, and #35) of five residents reviewed for unnecessary medications during the annual survey. The facility census was 47. Findings include: 1. […]