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, isolatedF678Dec 10, 2025

  Based on interview and record review, the facility failed to perform First Aid and Cardiopulmonary Resuscitation (CPR) per the standards of practice in 1 (Resident #140) of 4 residents reviewed for death resulting in an Immediate Jeopardy when on [DATE] at approximately 7:10 am, Resident #140, whose advanced directive indicated he was a full code (every possible life-saving therapy if a serious event occurs, such as cardiac or respiratory arrest) was found by facility staff in a pool of blood and without a heartbeat. Neither First Aid nor CPR was initiated, and Resident #140 was pronounced dead by Emergency Medical Services (EMS) at 7:36 AM. […]

• Immediate jeopardy, isolatedF689Sep 24, 2025

  This citation pertains to intake #2614156.Based on interview and record review the facility failed to adequately supervise, ensure safety and prevent an elopement of 1 (Resident #100) of 3 residents who were assessed to be at risk for elopement, resulting in an Immediate Jeopardy when Resident #100 left the premises on 8/30/25, alone, unbeknownst to staff and was returned on 8/31/25 after being missing for approximately 17 hours. The deficient practice placed all 17 residents a risk for elopement at risk for serious harm, serious injury, and/or death.Findings include:The Immediate Jeopardy began on 8/30/25 and was identified on 9/22/25 due to the facility's failure to adequately supervise, ensure safety, and prevent an elopement resulting in Resident #100 eloping from the building and was… […]

• Actual harm, isolatedF689Jul 16, 2026

  This citation pertains to intake 3064222.Based on observation, interview, and record review the facility failed to ensure a sit-to-stand lift (mechanical mobility device that helps transition a resident from sitting to standing) was used correctly for 1 (Resident #1) of 3 residents reviewed for falls resulting in a fall, right femur (thigh bone) fracture (broken bone), increased pain, and a hospitalization to have a fracture surgically repaired.Findings include:Review of Resident #1 (R#1)'s admission Record, dated 7/14/26, indicated she had a responsible party (a designated individual acting on the resident's behalf)/Power of Attorney (POA; legal document that gives an individual authority to make decisions on behalf of someone else). […]

• Actual harm, isolatedF600Dec 10, 2025

  Based on observation, interview, and record review, the facility failed to protect a resident's right to be free from resident-to-resident mental and verbal abuse for 2 (Resident #19 and Resident #96) of 3 residents reviewed for abuse, resulting in Resident #19 experiencing verbal threats and having profanity directed toward him by Resident #96. Findings include:Resident #19Review of an admission Record revealed Resident #19 was originally admitted to the facility on [DATE].Review of a Minimum Data Set (MDS) assessment for Resident #19 with a reference date of 10/15/25, revealed a Brief Interview for Mental Status (BIMS) assessment score of 15 /15, which indicated the resident was cognitively intact. […]

• Actual harm, isolatedF760Mar 7, 2024

  This citation pertains to intake MI0014870. Based on interview and record review, the facility failed to prevent significant medication errors for 2 (R102 and R105) of 3 residents reviewed for medication errors, resulting in a change in condition, emergent transfer, and hospitalization for R102 and the potential for change in condition for R105. Findings include: According to R102's medical records diagnoses included multiple sclerosis (MS) (chronic, typically progressive disease involving damage to the sheaths of nerve cells in the brain and spinal cord), and epilepsy (seizure). […]