Valley View Health Campus

In the surveyor’s words

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

• Actual harm, isolatedF689Mar 21, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on medical record review, staff interview, review of witness statements, review of hospital documents, review of the facility policy for falls, and review of facility corrective action, the facility failed to ensure residents who required a stand-up lift for transfers were properly and safely transferred per physician order and the plan of care. This resulted in actual harm when Resident #11 was transferred by two state tested nurse aides without the use of a stand-up lift and subsequently fell resulting in bilateral femur fractures. Resident #11 required hospitalization , surgical intervention, and numerous sutures and staples to repair the fractures. […]

• Actual harm, isolatedF689Feb 27, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, medical record review, hospital documentation review, staff interview, review of a personnel file, review of disciplinary action documentation, review of an investigation, policy review, and review of facility initiated corrective action, the facility failed to ensure appropriate care and assistance was provided to prevent a resident fall. This resulted in actual harm when Resident #64 was transferred by a mechanical (Hoyer) lift using only one staff member to assist, and subsequently fell , causing a closed right forearm fracture and a facial contusion. This affected one (#64) of three residents reviewed for falls. […]

• No harm, potential for more than minimal, widespreadF761Apr 17, 2025

  Based on observation, staff interview, review of pharmacy medication expiration dates and review of facility policy, the facility failed to ensure multi-use medications vials were properly dated. This had the potential to affect 56 residents residing in the facility. The facility census was 56. Findings include: Observation on 04/15/25 at 6:36 A.M. of the 300-hall medication storage room, with the Director of Nursing (DON), revealed one, open and undated, multi-use vial of Tuberculin, Purified Protein Derivative diluted/Aplisol, one ml (milliliter) (used for tuberculin testing), approximately three-quarters full. Further observation revealed the vial was dispensed from the pharmacy on 03/25/25 and had an imprinted expiration date of 01/17/26. […]

• No harm, potential for more than minimal, widespreadF812Mar 9, 2023

  Based on observation, staff interview, and review of the facility policy, the facility failed to ensure foods in the walk-in freezer were properly sealed, labeled, and dated. This had the potential to affect all 54 residents identified by the facility as receiving food from the kitchen. The facility census was 54. Findings include: Interview and observations of the walk in freezer with Area Director of Food Service (ADFS) #306 on 03/06/23 at 7:17 A.M. in the walk in freezer revealed an open, unsealed, unlabeled bag of chicken breast; an open unsealed, unlabeled, and undated bag of chicken tenders; an open, unsealed, unlabeled, and undated bag of hot dogs covered in frost; an open, unsealed, unlabeled, and undated bag of hamburger patties; an open, unsealed, unlabeled, and undated pizza… […]

• No harm, potential for more than minimal, patternF881Apr 17, 2025

  Based on review of the facility Infection Tracking - ATB (antibiotic) Log, staff interview and review of facility policy, the facility failed to ensure residents met criteria prior to the initiation of antibiotics. This affected 13 (#5, #7, #14, #17, #26, #34, #38, #48, #50, #942, #943, #944, and #952) of 17 residents reviewed for antibiotic stewardship. The facility census was 56. Findings include: Review of the facility Infection Tracking- ATB Surveillance Log from 01/01/25 to 04/16/25 revealed the facility utilized McGeer's (set of clinical and laboratory findings used to help identify true infections requiring antibiotic treatment) criteria to determine appropriate antibiotic usage. […]