Valley of the Moon Post Acute

In the surveyor’s words

From the most serious findings on record at Valley of the Moon Post Acute, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 15, 2026

  Based on observation, interview, and record review, the facility failed to protect one (Resident 1) of five sampled resident's right to be free from physical abuse when Resident 1 was struck by Resident 2 during an altercation that occurred on 3/06/26.This failure resulted in Resident 1's suffering bruising and skin tears to the face and arms. Resident 1 also experienced lasting anxiety following the facility failure.A review of Resident 's admission Record (facility demographic) indicated he was admitted to the facility on [DATE] with diagnoses that included cerebral infarction (oxygen and nutrients to part of the brain is blocked causing brain tissue death) with hemiplegia and hemiparesis (hemiparesis indicates weakness on one side of the body; hemiplegia indicates partial or total… […]

• No harm, potential for more than minimal, widespreadF727Jul 28, 2023

  Based on interviews, and record review, the facility failed to provide the services of a Director of Nursing (DON) on a full time basis for the last thee months. This failure prevented the oversight of a professional Registered Nurse (RN) in the management and direction of all aspects of the nursing services department that could adversely impact the care and treatment of residents residing in the facility. Findings: During an interview on 7/24/23, at 11:52 AM, the Administrator stated the facility did not have a Director of Nursing. During an interview on 7/27/23, at 3:15, the Director of Staff Development (DSD) stated the facility did not have a full time DON since early 4/2023. […]

• No harm, potential for more than minimal, patternF812Jul 16, 2026

  Based on observation, interview, and record review, the facility failed to store and prepare food according to professional standards for food safety for a facility census of 27 residents when:A large dented can was stored in the ready for use dry storage area,Expired food items were stored in the ready for use dry storage area,An opened food package was stored without any labeling in the ready for use dry storage area, and;Scratched and peeling plastic cutting boards were in use in the food preparation area.These failures created the potential for food contamination and food borne illness for a vulnerable resident population. Cross reference F908. 1. During a concurrent observation and interview on 7/13/26 at 9:15 a.m. […]

• No harm, potential for more than minimal, patternF550Oct 11, 2024

  Based on observation, interview and record review, the facility failed to ensure a resident right to know about, and had access to, the contact information for the Ombudsman (State Patient/Resident advocacy services) and California Department of Public Health (CDPH) and Federal and State Survey results. This failure had the potential for not allowing Residents or their family members to exercise their right to know contact advocates about their concerns regarding the care they received in the facility and how to view the results of the facility surveys and the plans of correction (A document from the facility that would state how to correct any deficiencies or findings, and to keep them from happening again.) prepared by the facility in response to a complaint investigation or… […]

• No harm, potential for more than minimal, patternF577Oct 11, 2024

  Based on observation, interview and record review, the facility failed to ensure residents knew about, and had access to, the contact information for the Ombudsman (State Patient/Resident advocate services) and California Department of Public Health (CDPH) and Federal and State Survey results. This had the potential for not allowing Residents or their family members to exercise their right to know contact advocates about their concerns regarding the care they received in the facility and how to view the results of the facility surveys and the plans of correction. […]