Vale Healthcare Center

In the surveyor’s words

From the most serious findings on record at Vale Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 6, 2022

  Based on observation, interview, and record review, the facility failed to protect one of three sampled residents (Resident 1) from abuse when Resident 1, a vulnerable resident, unable to protect himself, was roomed with Resident 2, an ambulatory resident with a history of impulsive aggressive behavior, and Resident 2 hit Resident 1 with a quad cane (a device used for walking that has a metal base on the bottom with four small feet that extend from the base). This failure resulted in Resident 1 sustaining a scalp laceration (a tear, cut, or opening in the skin covering the head caused by an injury) from Resident 2 hitting him with the quad cane. […]

• Actual harm, isolatedF580Aug 12, 2021

  Based on interview and record review, the facility failed to notify the physician of one (Resident 1) of two sampled residents after Resident 1 fell , which resulted in Resident 1 having treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings: During a review of Resident 1's facility document titled, Face Sheet, the Face Sheet indicated Resident 1 was admitted to the facility in 2019. During a review of Resident 1's Minimum Data Set (MDS, a resident assessment tool use to guide care) dated 2/9/21, the MDS indicated Resident 1 had a score of six on the Brief Interview for Mental Status exam. (BIMS, a scoring system used to determine the resident's cognitive status regarding attention, orientation, and ability to register and recall information. […]

• No harm, potential for more than minimal, widespreadF755May 23, 2024

  Based on observation, interview and record review, the facility failed to ensure expired medications and COVID (a virus like the cold or flu) test kits were discarded when they were kept with ready to use medications in medication storage areas. This failure had the potential to result in residents receiving abnormal COVID test results, less potent or less effective doses of the medication which can lead to new health problems or adverse reactions. Findings: During an observation and interview on 05/21/24 at 2:18 p.m., with Registered Nurse (RN) Supervisor, in Nursing Station One refrigerator, an Emergency kit (E-kit- a small quantity of medications that can be used when pharmacy services are not available) was observed with two red tag clips. […]

• No harm, potential for more than minimal, patternF584Jul 25, 2025

  Based on observations and interviews, the facility failed to repair a moderate dent in the wall in Resident 107's room.This deficient practice had the potential to result in the resident not feeling or having a safe and/or homelike environment.Findings: During a review of Resident 107's Face Sheet, dated 7/24/25, the Resident Face Sheet indicated, Resident 107 was admitted to facility 4/9/24. During an observation on 7/24/25 at 12:32 p.m. in Resident 107 room, there was a large dented and exposed wall area behind the head of Resident 107's bed. During an interview on 7/24/25 at 12:36 p.m. with Resident 107, Resident 107 stated that the dented and exposed wall looks awful and that they would not have their home look like this. […]

• No harm, potential for more than minimal, patternF687Jul 25, 2025

  Based on observation, interview and record review, for two sampled residents (Resident 15 and 184), the facility failed to provide podiatry referrals to treat their long toe nails. This failure did not provide necessary services for treatment and foot care to these residents. During a review of Resident 15's Face Sheet dated 7/24/25, the Face Sheet indicated Resident 15 was admitted to the facility in November 2023.During a review of the Resident 15's Minimum Data Set (MDS, a resident assessment instrument used to identify resident care problems to be addressed in an individualized care plan), dated 4/25/25, it indicated Section B indicated Resident 15 had clear speech, able to express ideas and wants, and has the ability to understand others. […]