Valley View Healthcare & Rehab

In the surveyor’s words

From the most serious findings on record at Valley View Healthcare & Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jan 29, 2025

  Based on interview and document review the facility failed to complete a comprehensive assessment, monitor, and notify the physician for a sudden change in mental and physical status for 1 of 3 residents (R1) who had a change in condition. The deficiency was identified as past non-compliance and issued at Immediate Jeopardy. The Immediate Jeopardy (IJ) began on [DATE], when R1 demonstrated changes to mental status, speech, and mobility in which licensed nursing staff failed to comprehensively assess, monitor, and notify the physician. The Administrator and Director of Nursing (DON) were notified of the IJ on [DATE] at 5:30 p.m. The facility had implemented immediate corrective action on [DATE] to prevent recurrence, the IJ was issued at past non complinace. […]

• No harm, potential for more than minimal, widespreadF919Jan 29, 2025

  Based on observation, interview, and record review the facility failed to ensure a complete wireless call light system in which staff were provided with functioning devices in their possession. This had the potential to affect all 33 residents at the facility. Findings include: During a phone interview on 1/29/25 at 9:26 a.m., registered nurse (RN)-A stated the facility's call light system was the worst she had ever seen. The call lights could not be heard and could not tell if they were going off unless she was in the hallway looking at the thin display bar that identified which call lights were going off. During an interview on 1/29/25 at 11:31 a.m., nursing assistant (NA)-E stated the call lights show up on the scroll board that showed the room number and bed 'A' or 'B'. […]

• No harm, potential for more than minimal, widespreadF801May 10, 2023

  Based on interview, and document review, the facility failed to employ either a full time registered dietitian (RD) or a qualified dietary manager (DM) to carry out the functions of the food and nutrition service since December 2022. This failure had the potential to affect all 31 residents who resided in the facility. Findings include: During an interview on 05/08/23 at 9:45 a.m., the DM stated she recently completed the Serv Safe course but was not a certified dietary manager (CDM). The DM stated the facility's registered dietitian (RD) was employed on a consultant basis and usually visited the facility once per week. […]

• No harm, potential for more than minimal, widespreadF812May 10, 2023

  Based on observation, interview, and document review, the facility failed to label, date, and cover food stored in kitchen refrigerator and freezer storage. The facility also failed to discard hot dogs that had signs of spoilage and left-over food stored in refrigeration for greater than seven days. This had the potential to affect 30 residents who consumed food prepared in the facility's kitchen. Findings include: 1. Observation during the initial kitchen inspection on 05/08/23 from 9:45 a.m. to 10:15 a.m., with the dietary manager (DM) present, revealed the following: a. […]

• No harm, potential for more than minimal, widespreadF921May 10, 2023

  Based on observation, interview, and document review, the facility failed to keep the kitchen's small mixer, sheet pans, two kitchen drawers, and a shelf where food preparation equipment was stored clean. The facility also failed to maintain the kitchen's walk-in freezer in safe operating condition by failing to prevent ice buildup inside the freezer. This failure had the potential to affect 30 residents who consumed food prepared in the facility's kitchen. Findings include: 1. Observation during the initial inspection of the facility's kitchen on 05/08/23 from 9:45 a.m. to 10:15 a.m., with the dietary manager (DM) present, revealed the following: a. The kitchen's small mixer, covered and ready for use, was unclean with dried food splatters. b. […]