Valley View Care and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Valley View Care and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 17, 2026

  Based on record review and interviews with residents, staff, Psychiatric Provider and the Medical Director the facility failed to implement effective systems to prevent an accidental overdose. On 7/02/26, staff found Resident #1 in his room pale, sweating, and incoherent and observed crushed pills and white powder on his television stand. Staff administered Narcan (a nasal spray that rapidly reverses opioid overdose), and within two minutes Resident #1 was able to answer questions and assist with transfer to the Emergency Medical Services (EMS) stretcher. […]

• Actual harm, isolatedF689Jun 4, 2026

  Based on observations, record review, and staff and Medical Director interviews, the facility failed to provide care in a safe manner when staff assisted a resident with muscle weakness, dementia, and was bedbound with incontinence care. The resident fell off the side of the bed onto the floor, was bleeding from her head, and immediately transferred to the hospital for treatment. A hospital x-ray (imaging test for body's internal structures) revealed Resident #3 had suffered a laceration to the left side of the scalp and neck fractures during the fall. Resident #3 received treatment at the hospital on 5/30/26 and was discharged back to the facility on 5/31/26. The deficient practice occurred for 1 of 3 residents for the prevention of accidents (Resident #3). […]

• Actual harm, isolatedF550Nov 2, 2023

  Based on record review and resident and staff interviews, the facility failed to maintain a resident's dignity by not providing assistance when requested by a resident (Resident #259) with a wet brief for 1 of 2 residents reviewed for dignity. Resident #259 stated this made her feel not too good, aggravated and worried that staff had forgotten her. The findings included: Resident #259 was admitted to the facility on [DATE] for Repair of Displaced Spiral Fracture of Right Tibia (a broken lower leg bone in a twisted motion) and Spondylosis (breakdown and separation of the lower spinal vertebra and disks). The 5-Day Admission Minimum Data Set Assessment on 10/25/23 indicated Resident #259 was cognitively intact. She was frequently continent of bladder and continent of bowel function. […]

• Actual harm, isolatedF725Nov 2, 2023

  Based on record review, observations, and staff interviews, the facility failed to provide sufficient nursing staff to assist residents with incontinence care, showers, bed baths and hair care, wound care, and to provide pneumococcal vaccines to eligible residents for 5 of 12 residents (Residents #259, #51, #13, #25, and #7) reviewed for sufficient staffing. The findings included: This tag was cross-referenced to: F550 - Based on record review and resident and staff interviews, the facility failed to maintain a resident's dignity by not providing assistance when requested by a resident (Resident #259) with a wet brief for 1 of 2 residents reviewed for dignity. […]

• No harm, potential for more than minimal, widespreadF812Nov 2, 2023

  Based on observations and staff interviews, the facility failed to maintain a clean kitchen floor, discard expired food items available for resident use in 1 of 1 walk-in cooler, label and date food in 1 of 1 reach-in refrigerator, maintain a clean refrigerator in 1 of 1 nourishment room on E Hall and maintain air vents free from dust buildup in the kitchen. These practices had the potential to affect food and beverages served to the residents. The findings included: a. An initial observation of the kitchen on [DATE] at 9:10 AM was made with the Dietary Manager (DM). […]