Valley View Health and Rehabilitation, LLC

In the surveyor’s words

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

• Actual harm, isolatedF656Aug 26, 2022

  Based on observations, record review, interviews, and review of a facility policy titled, Person Centered Care Plans, the facility failed to ensure the care plan was consistently implemented for 1 (Resident Identifier [RI] #1) of 3 residents reviewed for care plans. Specifically, the facility failed to ensure RI #1 was transferred using two-person assistance, as per the care plan, which resulted in the resident sustaining a significant skin tear. Findings included: Review of a facility policy titled, Person Centered Care Plans, dated 08/15/2028, revealed, The facility develops a comprehensive person-centered plan of care for each resident/guest that includes measurable objectives and timetables to meet a resident/guest(s) medical, nursing and mental/psychosocial needs that are identified… […]

• Actual harm, isolatedF689Aug 26, 2022

  Based on observations, record review, interviews, and review of facility policies titled, Person Centered Care Plans and Assisted Transfer, the facility failed to ensure two-person assistance was provided with a transfer as per the resident's assessed and care planned needs for 1 (Resident Identifier [RI] #1) of 3 sampled residents reviewed for falls. This resulted in RI #1 sustaining a significant skin tear to the left lower leg. Findings included: A review of a facility policy titled, Person Centered Care Plans, revealed, The facility develops a comprehensive person-centered plan of care for each resident/guest that includes measurable objectives and timetables to meet a resident/guest(s) medical, nursing and mental/psychosocial needs that are identified in the comprehensive assessment… […]

• No harm, potential for more than minimal, patternF880Apr 22, 2022

  Based on observations, interviews, and review of the facility policies titled, Hand Hygiene and Using Gloves, the facility failed to ensure staff followed infection control measures to prevent the spread of infections including COVID-19. Specifically, the facility failed to ensure: 1. housekeeping staff changed gloves and completed hand hygiene when cleaning resident rooms on one (100 Hall) of seven halls; and, 2. clean laundry was covered during transport and delivery on one (100 Hall) of seven halls. Findings included: A review of the facility's policy titled, Hand Hygiene, dated 06/11/2020, indicated, Hand hygiene continues to be the primary means of preventing the transmission of infection. […]

• No harm, potential for more than minimal, isolatedF580Jan 6, 2023

  Based on interviews, medical record review, and a review of a facility policy titled, Change in Medical Condition of Residents, the facility failed to ensure Resident Identifier (RI) #1's sponsor/family was notified when RI #1 was prescribed the medication Macrobid on 08/31/2022. This deficient practice had the potential to affect RI #1; one of three sampled resident reviewed for notification. Findings include: A facility policy titled, Change in Medical Condition of Resident/Guest(s), with an effective date of 11/28/2016, documented, . Notification of . legal representative, or interested family member, should occur promptly, according to federal regulations, when there is a change in the resident/guest(s) condition. A need to alter treatment . […]

• No harm, potential for more than minimal, isolatedF686Jan 6, 2023

  Based on interviews, medical record review and review of a facility policy titled, Pressure Ulcers, the facility failed to ensure Resident Identifier (RI) #3's pressure ulcer was assessed at the time of admission on 12/09/2022 and appropriate treatment orders for the wound were obtained from the physician at that time. RI #3's pressure ulcer was not assessed and treatment orders obtained until 12/12/2022. This deficient practice had the potential to affect RI #3, one of four residents sampled for pressure ulcers. Findings include: Review of a facility policy titled, Pressure Ulcers, with an effective date of 10/01/2010 revealed: . PROCESS: I. The Wound Flow Record should be completed when pressure ulcers are found on admission II. […]