Valley Center

In the surveyor’s words

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

• Actual harm, isolatedF600Mar 3, 2022

  Based on observation, resident interview, staff interview and record review, the facility neglected to provide appropriate wound care and monitoring per the physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The failure to provide the necessary wound care services to Resident #3 resulted in a negative physical outcome leaving the Resident with feelings of despair. This failed practice was true for one (1) of three (3) residents reviewed for abuse. Resident identifier: #3. Facility census:127. Findings included: a) Resident #3 During an interview on 02/28/22 at 2:35 PM, Resident #3 was asked what happened to her left leg (anterior thigh area). The Resident stated this past weekend the skin graft on the left thigh had been draining. […]

• No harm, potential for more than minimal, widespreadF814Apr 8, 2026

  Based on observation and staff interview, the facility failed to store and dispose of garbage and refuse properly. One (1) of the three (3) dumpsters located outside of the facility had one sliding door that was open. During two different observations of the kitchen during the survey process, the lid for the trash can located in the dining room was not on, and was sitting on the floor. This was a random opportunity for discovery that has the potential to affect every resident at the facility. […]

• No harm, potential for more than minimal, widespreadF726Mar 3, 2022

  Based on observation and staff interview, the facility failed to ensure nursing staff had the competencies and skill sets necessary to provide nursing and related services to meet the residents needs safely and in a manner that promotes each resident's rights, physical, mental and psychosocial well-being. The facility failed to ensure staff doffed personal protective equipment (PPE) appropriately before leaving a room with a positive COVID -19 resident. Medication administration was not timely. Staff failed to follow physician orders for wound care. A newly admitted resident did not receive needed medication timely. A resident did not receive as needed (PRN) pain medication after voicing severe pain. Resident identifiers: #110, #27, #327, #45, #41, #94, #16 and #366. […]

• No harm, potential for more than minimal, widespreadF867Mar 3, 2022

  Based on staff interview and record review, the facility failed to ensure the Quality Assessment and Assurance (QAA) committee implemented plans of action for correcting and improving performance in response to quality deficiencies. This practice had the potential to affect all residents residing at the facility. Facility census: 127. Findings included: a) Staff interviews On 03/03/22 09:19 AM, the Director of Nursing was asked how the QAA committee monitored infection control practices to ensure staff donned and doffed personal protective equipment; how the facility monitored and addressed grievances expressed by the resident counsel; how facility staff monitored water temperatures to ensure the temperatures were comfortable for the residents; how the facility monitored food temperatures;… […]

• No harm, potential for more than minimal, widespreadF868Mar 3, 2022

  Based on record review and staff interview, the facility failed to ensure Quality Assessment and Assurance (QAA) meetings consisted of the director of nursing services; the Medical Director or his/her designee; and at least three other members of the facility's staff. In addition, the facility failed to ensure meetings were held at least quarterly. This practice had the potential to affect all residents residing at the facility. Facility census: 127. Findings included: a) Staff interviews On 03/03/22 09:19 AM, the Director of Nursing said she was just hired and had never attended a QAA meeting. The DON said she did not know who the surveyor could interview because the infection preventist, the activity director, and the dietary manager were all just hired. […]