Valley Manor Care Center

In the surveyor’s words

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

• Actual harm, isolatedF692May 23, 2024

  Based on record review and interviews, the facility failed to ensure two (#17 and #39) of five residents out of 38 sample residents received the care and services necessary to meet their nutrition and hydration needs and to maintain their highest level of physical well-being. Resident #17 was admitted to the facility on [DATE] with diagnoses of chronic obstructive pulmonary disease (COPD), chronic respiratory failure and severe protein-calorie malnutrition. On [DATE], the resident weighed 137 pounds (lbs). On [DATE] the resident sustained a 5.8% (percent) (7.88 lbs) weight loss in 21 days, which was considered severe. After the resident sustained the weight loss the facility failed to implement additional nutritional interventions to address the resident's weight loss. […]

• Actual harm, isolatedF695Jun 8, 2023

  Based on record review and interviews, the facility failed to provide adequate respiratory care for one (#1) of three sample residents. Resident #1 used a noninvasive positive-pressure ventilation system to improve oxygenation when he moved into the facility on the afternoon of 5/14/23. However, the facility failed to ensure Resident #1's noninvasive positive-pressure ventilation was applied, his oxygen concentrator was operating properly and his vital signs were checked. As a result, on the morning of 5/15/23, nursing assessment revealed Resident #1's oxygen saturation levels were reduced to 74% and Resident #1 had difficulty breathing, requiring treatment at the local hospital emergency room . […]

• Actual harm, isolatedF550Nov 17, 2022

  Based on resident and staff interviews and record review, the facility failed to ensure dignified, respectful care for two (#8 and #14) of eight residents reviewed out of 23 sample residents. Resident #14 said she did not receive timely assistance from staff for bathing and other care needs, and as a result she felt lonely and disrespected, wanted to go home, and cried a lot. Resident #8 said she sometimes did not receive dignified, respectful care, and as a result experienced bowel incontinence and felt ashamed, embarrassed, mad and aggravated. Findings include: I. Facility policy The Resident's Bill of Rights and Dignity Policy, revised 10/24/22, was provided by the director of nursing (DON) on 11/17/22 at 3:00 p.m. […]

• Actual harm, isolatedF600Nov 17, 2022

  Based on interviews and record review, the facility failed to ensure six (#8, #111, #53, #52, #25 and #51) of eight residents reviewed were free from abuse, neglect and mistreatment out of 23 sample residents. Specifically, the facility failed to ensure: -Resident #8, who was dependent on staff assistance, was free from mistreatment involving rough transfers, and verbal/mental abuse after reporting mistreatment; -Resident #111, who was dependent on staff assistance, was free from neglect when requesting assistance from staff who refused to provide the assistance; -Resident #53, who was dependent on staff assistance, was free from verbal/mental abuse during dining; -Resident #52, who was dependent on staff assistance, was free from physical resident to resident altercations; -Resident #25,… […]

• Actual harm, isolatedF686Nov 17, 2022

  Based on observations, record review and interviews, the facility failed to ensure effective preventive interventions to prevent pressure injuries for one (#13) of four residents reviewed for pressure injuries out of 23 sample residents. Resident #13 admitted to the facility with diagnosis of hemiplegia and hemiparesis (paralysis) following cerebral infarction (stroke) and was identified by assessment to be at high risk for developing pressure injuries. The resident required extensive two-person assistance with bed mobility, transfers, toileting, and bathing. The facility failed to ensure preventative interventions were implemented which resulted in the resident sustaining a facility acquired unstageable pressure ulcer to Resident #13's foot. […]