Valley Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF727Apr 9, 2025

  The facility identified a census of 23 residents. The sample included 13 residents. Based on record review and interview, the facility failed to provide a Registered Nurse (RN) for at least eight consecutive hours a day seven days a week. This placed the residents at risk of decreased quality of care. Findings included: - The Payroll Based Journaling (PBJ) report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (FY) 2024 quarter one, quarter two, quarter three, and quarter four indicated data was suppressed though the facility did not meet the reasons for suppressed data other than inaccurate data or failure to report. The PBJ report indicated 74 days in FY 2024, the facility did not have a registered nurse (RN) for eight consecutive hours for each 24 hours. […]

• No harm, potential for more than minimal, widespreadF851Apr 9, 2025

  The facility identified a census of 23 residents. Based on interview, and record review the facility failed to submit accurate staffing information to the federal regulatory agency through Payroll Based Journaling (PBJ), when the facility failed to submit accurate registered nurse (RN) coverage hours. Findings included: - The PBJ report provided by the Centers for Medicaid and Medicare (CMS) for Fiscal Year (FY) 2024 quarter one, quarter two, quarter three, and quarter four FY 2024 documented the following triggered areas: The quarter one PBJ documentation revealed the facility had a one-star staffing rating and documented no RN hours. […]

• No harm, potential for more than minimal, widespreadF727Jul 27, 2023

  The facility had a census of 30 residents. Based on observation, record review, and interview, the facility failed to provide Registered Nurse (RN) coverage eight hours a day, seven days a week, placing all residents who reside at the facility at risk of lack of assessments and inappropriate care. Findings included: - Upon review of Payroll Based Journal (PBJ- a required detail information submitted by nursing homes of staffing required from the Centers of Medicare and Medicaid Services [CMS]) lacked RN eight-hour coverage for the months of May 2022, July 2022, August 2022, September 2022, October 2022, November 2022, December 2022, January 2023, February 2023, and March 2023. […]

• No harm, potential for more than minimal, isolatedF699Apr 9, 2025

  The facility identified a census of 23 residents. The sample included 13 residents, with one resident reviewed for trauma informed care (treatment or care directed to prevent re-experiencing or reducing the effects of traumatic events). Based on observation, record review, and interviews, the facility failed to identify trauma-based triggers related to Resident (R) 2's post-traumatic stress disorder (PTSD- mental disorder characterized by an acute emotional response to a traumatic event or situation involving severe environmental stress) and failed to implement individualized interventions to prevent re-traumatization. These deficient practices placed R2 at risk for decreased psychosocial well-being and ineffective treatment. […]

• No harm, potential for more than minimal, isolatedF757Apr 9, 2025

  The facility identified a census of 23 residents. The sample included 13 residents, including five residents reviewed for unnecessary medications. Based on observation, record review, and interview the facility failed to ensure staff notified the physician when Resident (R) 11's physician ordered insulin (a hormone that lowers the level of glucose in the blood) was refused or held. This deficient practice placed R11 at risk of unnecessary medication administration and related complications. […]