The Valley Health and Rehab

In the surveyor’s words

From the most serious findings on record at The Valley Health and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF686Apr 23, 2026

  Based on observations, interviews, and record review, the facility failed to ensure a resident received care for the prevention and treatment of pressure ulcers; failed to complete and document the pressure ulcer/skin assessments, treatments, and services to promote healing, and prevent infection, for 1 (#7) of 3 sampled residents for pressure ulcers/skin care. This deficient practice resulted in skin breakdown and resident #7 developing a large Stage IV pressure ulcer, which became infected, requiring hospitalization and treatment, and the staff reported the resident's behaviors, anxiety, and pain made care difficult. […]

• Actual harm, isolatedF627Aug 27, 2025

  Based on observation, interview, and record review, the facility failed to follow the required discharge process to include obtaining physician orders to discharge the resident from the facility; failed to obtain physician orders to setup up home health post discharge as care planned; and failed to document discharge planning communication, and the day of discharge process, including when, where to, what the discharge orders for care were for 1 (#1) of 6 sampled residents. This failure led to the resident not having proper support in place at the discharge location, and subsequently, the resident returned to the hospital for continued care. […]

• Actual harm, isolatedF692Dec 5, 2024

  Based on observation, interview, and record review, the facility failed to ensure a resident at risk for nutritional deficits was monitored to prevent the resident from having severe weight loss, for 1 (#30) of 19 sampled residents. Findings include: During an interview on 12/4/24 at 4:15 p.m., staff member E stated the CNAs would check the EHR to see what residents needed to be weighed that day. Staff member E stated the residents had different frequencies to be weighed. Some were monthly, weekly, or daily. Staff member E stated the nurse would check the weight entered by the CNA and let them know if they needed a reweight for a drastic change. During an observation and interview, on 12/4/24 at 4:18 p.m., resident #30 was in his wheelchair. […]

• No harm, potential for more than minimal, widespreadF812Apr 23, 2026

  Based on observations, interviews, and record review, the facility failed to ensure that food items stored in the walk-in cooler were dated and labeled appropriately. This deficient practice placed all residents at risk for foodborne illnesses. Findings include: During an observation on 4/23/26 at 8:06 a.m., the following items were observed in the walk-in cooler:- Two zip-lock bags of slimy, sliced tomatoes, which were not dated. - One gallon zip-lock bag of ground meat, not labeled with the food type or date. […]

• No harm, potential for more than minimal, widespreadF725Nov 18, 2025

  Based on observations, interviews, and record reviews, the facility failed to provide sufficient staff for the Memory Care Unit residents, to ensure monitoring and assistance with safety, provision of ADL care, meal assistance, and abuse prevention for 6 (#s 1, 2, 5, 8, 9, and 10); and failed to ensure staff were available to assist with resident bathing/showering, as needed, for 10 (#s 6, 7, 11, 12, 13, 14, 15, 16, 17, and 18) of 18 sampled residents. The failure to provide ADL bathing/shower assistance made some residents feel dirty, and they appeared unkempt or neglected. Findings include: During an interview on 9/23/25 at 8:50 a.m., staff member F stated there was not enough supervision on the memory care unit when resident #1 was going at it because she was a one-to-one. […]