Valencia Hills Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Valencia Hills Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Dec 20, 2023

  Based on observations, interviews with the nursing staff, Nursing Home Administrator, the Director of Nursing, the facility's Risk Manager, the facility's Medical Director, the resident's family member and review of the resident's medical record and facility policies, the facility failed to protect the resident's right to be free from neglect by not ensuring one (#1) of 58 residents at risk for elopement, was provided with supervision and services related to the resident's known cognitive deficits and history of wandering before admission to the facility. […]

• Immediate jeopardy, isolatedF689Dec 20, 2023

  Based on observations, interviews with the nursing staff, Nursing Home Administrator, the Director of Nursing, the facility's Risk Manager, the facility's Medical Director, the resident's family member and review of the resident's medical record and facility policies, facility failed to ensure one resident (#1) of 58 residents at risk for elopement, was provided with supervision and services related to the resident's known cognitive deficits and history of wandering before admission to the facility. […]

• Actual harm, isolatedF689Apr 30, 2026

  Based on observation, interview, and record review, the facility failed to provide adequate supervision to prevent resident to resident altercation for five (Residents: #20, #51, #126, #185, #192) of five residents reviewed. This failure resulted in three resident-to-resident physical altercations on one (500-unit) of five units. Findings Include:1. On 04/27/2026 at 10:52 AM, an observation was made of two residents yelling at each other in the dining room of the 500 units. An activities aid was sitting at the table with the two residents. A nurse and the medical records coordinator responded to the situation, after two minutes of the argument. At the same time, Resident #20 had walked over to resident #185, who was sitting in a wheelchair and watching television (TV). […]

• No harm, potential for more than minimal, widespreadF812Apr 30, 2026

  Based on observations, interviews and record review, the facility failed to serve food in accordance with professional standards for food service safety related to one of one dish washing machines was not operated per its specifications. Findings included: On 4/27/2026 at 9:45 a.m. the kitchen was toured with the Certified Dietary Manager (CDM), and the Regional Dietary Manager. The CDM stated the kitchen operates a low temperature dishwashing machine. The CDM further stated the machine's operation includes wash temperatures to reach at least 140 degrees Fahrenheit (F), and the final rinse temperature to reach at least 120 degrees F. […]

• No harm, potential for more than minimal, widespreadF812Mar 7, 2024

  Based on observation, record review, and interview, the facility failed to ensure food was labeled and dated in the walk-in refrigerator, temperature logs were completed per facility policy, and dinnerware was properly sanitized. Findings included: An observation on 03/05/24 at 9:05 a.m., revealed a walk-in refrigerator that contained food items that were not labeled or dated. The items consisted of: - One 4-quart (qt) container of a pureed yellow substance that was identified by Staff E, Dietary Clerk (DC) as apple sauce. - One 4-quart (qt) container of squared yellow substance that was identified by Staff E, DC as pineapples. - One 4-quart (qt) container of squared white substance that was identified by Staff E, DC as pears. […]