Valley Hi Nursing Home

In the surveyor’s words

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

• Immediate jeopardy, patternF880Jan 5, 2021

  Based on observation, interview, and record review, the facility failed to implement infection control policies and recommendations from the local health department and the centers for disease control regarding isolation of COVID-19 residents. This failure has the potential to infect high risk residents with COVID-19 and spread the disease to COVID-19 negative residents. This applies to 10 of 21 residents (R1 through R8, R15, R16) reviewed for infection control practices in the sample of 21. This failure resulted in Immediate Jeopardy. The Immediate Jeopardy began on [DATE] when R5 became the first COVID-19 positive resident during the facility's current outbreak and was not separated from her roommate R6 who was COVID-19 negative. The Immediate Jeopardy was identified on [DATE]. […]

• Immediate jeopardy, isolatedF689Mar 20, 2024

  Based on observation, interview, and record review the facility failed to ensure residents were served food at a safe temperature. This failure resulted in R273 spilling hot soup and receiving full thickness burns on his right forearm and abdomen. The facility failed to safely transfer residents with a mechanical lift. The facility failed to ensure medications were stored in a safe manner away from a cognitively impaired resident. The facility also failed to ensure residents at risk for choking were supervised during meal times and provided thickened liquids as prescribed. This applies to 6 of 18 residents (R17, R9, R51, R52, R53 & R273) reviewed for safety and supervision in the sample of 18. […]

• Actual harm, isolatedF689Jan 6, 2026

  Based on observation, interview, and record review the facility failed to ensure fall precautions were updated and in place for residents at risk for falls for 2 of 3 residents (R1, R3) in the sample of 3. This failure resulted in R1 falling and sustaining a head injury.The findings include:The facility's Incident Report dated 1/1/26 shows At approximately 6:49 AM, R1 was screaming for help from her bed and bed alarms were sounding. The Certified Nursing Assistant (CNA) (V5) acknowledged her and the resident states she needed to go to the bathroom. Resident was assisted to the bathroom with her walker and placed on the toilet. R1's call light was turned on and CNA returned to assist resident off the toilet around 7:00 AM. […]

• Actual harm, isolatedF689Jan 3, 2023

  Based on observation, interview and record review the facility failed to ensure a resident was safely transferred using a mechanical stand lift device for 1 of 3 residents (R1) reviewed for safe transfers in the sample of 3. This failure resulted in R1 sustaining a left humerus fracture. The findings include: R1's Physician Order Sheet accessed on 1/3/23 show R1 has diagnoses that include morbid obesity, hypertension and heart failure. R1's facility assessment dated [DATE] show R1 has no cognitive impairment. The same assessment show R1 needs extensive assist of 2 or more staff for all transfers with mechanical stand lift device. […]

• No harm, potential for more than minimal, patternF805Mar 4, 2026

  Based on observation, interview, and record review the facility failed to ensure soft and bite sized foods were cut to 1/2 (inch) x (by) 1/2 x 1/2 sizes before plating and serving. This applies to 4 of 4 residents (R36, R64, R105, and R97). The findings include: Facility provided diet order list dated 3/2/26, shows R36 has a diet order of easy to chew with bite sized meats. R105, R64, and R97 have a diet order of soft and bite sized with ground meats. R124 has a diet order of soft and bite sized. 1. On 3/2/26 at 11:24 AM, V14 (Cook) started setting up the second floor kitchenette for service. This included a pan of coined glazed carrots and a pan of a full pot roast, not yet sliced. […]