Valley Pointe Nursing & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 26, 2024

  Based on observation, interview, and record review, the facility failed to ensure adequate supervision was provided to two of 20 sampled residents (Residents 148 and 23) as follows. 1 a). Resident 148, identified as a high risk for falls, was not provided with a sitter after the resident was deemed needing one-one supervision to prevent further falls. This resulted in Resident 148 sustaining another serious fall injuries (a comminuted fracture that is broken in at least two pieces caused by trauma to the right clavicle (collarbone), and a subdural hematoma (condition when a pool of blood develops between the brain and its covering, usually from head trauma). b). Resident 148 eloped on 12/7/23 and was later found in a hospital emergency department (ED). […]

• No harm, potential for more than minimal, widespreadF880Jan 26, 2024

  Based on observation, interview and record review, the facility failed to implement the facility infection control program policy and procedure for 48 of 48 residents (all facility residents) when: 1. The facility did not report an outbreak of Coronavirus Disease (COVID-19, a respiratory infection which can result in breathing difficulty and other complications, including death.) to the California Department of Public Health (CDPH). This failure had the potential to result in lack of communication and oversight between the facility and CDPH during an infectious disease (COVID-19) outbreak. 2. […]

• No harm, potential for more than minimal, widespreadF908Jan 26, 2024

  Based on observation and interviews, the facility failed to maintain the facility's ventilation system in a safe operating condition when the heating, vacuum, air conditioning (HVAC) in the broiler room did not have the required MERV 13 filtration recommended for healthcare settings during a COVID-19 outbreak. (MERV filters reduces up to 75% of large airborne particles including: dust and lint, dust mite debris, pollen, per dander, mold spores, bacteria and virus carriers). This failure had the potential to spread airborne infections during COVID-19 outbreak. Findings: During an observation and concurrent interview on 1/25/24 at 8:09 a.m., accompanied by Maintenance Supervisor (MS), the filter from the HVAC system in the broiler had black dust in the filter spaces dated 9/6/23. […]

• No harm, potential for more than minimal, patternF584May 1, 2026

  Based on observation, interview, and record review, the facility failed to ensure water temperatures were maintained within a safe range for five of eight sampled residents (Residents 1, 40, 45, 59, and 60) when two Jack-and-[NAME] bathrooms (shared bathrooms with two separate entrances from two different rooms) had faucet sink water temperatures exceeding 120 (degrees) Fahrenheit (a temperature scale used to measure how cold or hot something is).This failure placed Residents 1, 40, 45, 59, and 60 at risk for scald (type of burn caused by contact with hot liquids or steam) injuries.During a record review of Resident 1's admission Record (AR), printed on 4/28/26, the AR indicated Resident 1 was admitted to the facility in March 2026 with diagnosis of Alzheimer's disease (a progressive,… […]

• No harm, potential for more than minimal, patternF726May 1, 2026

  Based on interview and record review, the facility did not demonstrate competency in dialysis care to provide services for four (Resident 22, Resident 32, Resident 66, and Resident 3) of four dialysis-dependent (dialysis, a type of treatment that helps the body remove extra fluid and waste products from the blood when the kidneys fail) residents in accordance with the facility assessment.This failure did not ensure the licensed nurses' competency and skills were met to provide safe care which could potentially result in dialysis-dependent residents receiving inappropriate care and services.A review of Resident 22's admission Record printed 5/1/26 indicated resident was admitted to the facility on [DATE] with diagnoses that included chronic kidney disease (renal failure), diabetes mellitus… […]