Valley View Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Feb 26, 2025

  Based on record review and interviews, the facility failed to ensure one (#3) of three residents at risk for elopement out of 17 sample residents received adequate supervision and were kept free from elopement. Specifically, the facility failed to provide Resident #3 with the supervision necessary to prevent elopement. The facility's failures created a situation for the likelihood of serious harm to residents' health and safety if not immediately corrected. The facility was a totally secure building specializing in serving residents with severe mental illness, dementia and behavioral health issues. The entire campus had a six-foot high security fence around the whole campus with a wired overhang in the unrestricted front resident space to discourage anyone from climbing over the fence. […]

• Actual harm, isolatedF692Dec 2, 2021

  Based on observations, record review and interviews, the facility failed to ensure the nutritional and hydration needs were consistently met for two residents (#13 and #15) of three out of 26 sample residents. Specifically, the facility failed to implement interventions to prevent a significant weight loss for Resident #13 who was at nutritional risk due to poor nutritional intake and who required staff assistance for cueing at meals. The facility failed to identify assistance needed with meals in timely manner and address Resident #13's nutritional needs. Lack of timely interventions to aid Resident #13 to maintain her nutritional status led to a significant, unplanned weight loss of 13.4% in four months. […]

• No harm, potential for more than minimal, widespreadF812Aug 13, 2026

  Based on observation, record review and staff interview, the facility failed to store, prepare, distribute and serve food in a sanitary manner in the main kitchen.Specifically, the facility failed to:-Maintain the ice machine in a sanitary condition; and,-Maintain the kitchen in a sanitary condition.Findings include:I. Failure to maintain the ice machine in a sanitary conditionA. Professional referenceThe Colorado Retail Food Establishment Regulations, (3/16/24), retrieved on 8/19/26, read in pertinent part, Equipment food-contact surfaces and utensils shall be clean to sight and touch. (4-601.11) Nonfood-contact surfaces of equipment shall be kept free of an accumulation of dust, dirt, food residue, and other debris. (4-601.11)B. […]

• No harm, potential for more than minimal, widespreadF838Feb 26, 2025

  Based on record review and staff interviews, the facility failed to conduct and document a facility-wide assessment to determine what resources were necessary to care for its residents competently during both day-to-day operations and emergencies. Specifically, the facility failed to develop a facility assessment that included all resources, education, staff competencies and facility based risk assessments for a facility that was a totally secured locked facility for residents with mental illness and dementia diagnosis. Cross-reference F689: failure to prevent a resident from eloping a secured locked facility. Findings include: I. Facility policy and procedure The Facility Assessment policy, dated October 2018, was provided by the nursing home administrator (NHA) on 2/26/25 at 5:26 p.m. […]

• No harm, potential for more than minimal, widespreadF843Feb 26, 2025

  Based on record review and interviews, the facility failed to have a written transfer agreement with one or more hospitals approved for participation under Medicare and Medicaid programs to reasonably ensure residents would be transferred from the facility to a hospital, and assured of timely admission to the hospital when transfer was medically appropriate. Specifically, the facility failed to ensure a written agreement was in effect with one local area hospital. Findings include: I. Record review A request was made to the nursing home administrator (NHA) on 2/26/25 at 2:10 p.m., for the facility's hospital transfer agreement. -The facility was unable to provide a written agreement for the one area hospital. II. Staff interview The NHA was interviewed on 2/27/25 at 2:53 p.m. […]