Valley View Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 12, 2022

  Based on observation, interview, and record review, the facility failed to follow its Policies and Procedures on Safety and Supervision of Residents and Wandering and Elopements for five of five sampled residents (Residents 1, 2, 3, 4 and 5), by failing to ensure: 1. The Interdisciplinary team (IDT, a team of professionals from various disciplines who work together to address the resident's care) conducted a meeting after Resident 1 eloped on [DATE] to analyze information about the resident's elopement and develop nursing interventions to prevent further elopement. 2. […]

• Immediate jeopardy, isolatedF603Aug 13, 2022

  Based on observation, interview, and record review, the facility failed to ensure two of two sampled residents (Residents 1 and 2) were free from involuntary seclusion (separation of a resident from other residents or from her/his room or confinement to her/his room with or without roommates against the resident's will, or the will of the resident representative). The facility failed to protect Residents 1 and 2 from involuntary seclusion when: 1. Certified Nursing Assistant (CNA 1) left Residents 1 and 2 inside their room involuntarily secluded without staff present in the Red Cohort [isolation rea, area only for residents who have laboratory confirmed Coronavirus-19 (COVID-19, a respiratory illness that can spread from person to person) with or without symptoms, regardless of vaccination… […]

• Actual harm, isolatedF697Dec 8, 2023

  Based on interview and record review, the facility failed to provide appropriate pain management for one of six sampled residents (Resident 4) by failing to: 1. Ensure Licensed Vocational Nurses (LVN) 3 and 4 called Medical Doctor (MD) 1 to obtain a new order when Resident 4 experienced lower back pain (pain in lower portion of the back) ranging from eight (8) to 10 out of 10 based on a numerical rating scale (NRS, requiring the resident to rate their pain on a defined scale, zero (0) to 10, 0 being no pain, one (1) to three (3) being mild pain, four (4) to six (6) being moderate pain, seven (7) to nine (9) being severe pain and 10 being the worst pain imaginable/very severe pain) on 10/18/2023, at 4 am. 2. […]

• No harm, potential for more than minimal, patternF641Jun 18, 2026

  Based on interview and record review, the facility failed to ensure two of two sampled residents' (Residents 41 and 86's) Minimum Data Set (MDS, a resident assessment tool) reflected an accurate assessment, by failing to: a. Ensure Resident 86's fall on 5/28/2026 was coded accurately in MDS assessment dated [DATE]. b. Ensure Resident 41's number of days that insulin (a hormone that helps a resident's body use sugar for energy) injections were received since admission was coded accurately in the initial MDS assessment dated [DATE]. […]

• No harm, potential for more than minimal, patternF656Jun 18, 2026

  Based on interview and record review, the facility failed to develop and implement specific, comprehensive, and individualized person-centered care plans (CP) to meet the residents' needs for three of four sampled residents (Residents 10, 75, and 86) by failing to:a. Develop an individualized CP to address the automatic implantable cardioverter-defibrillator (AICD, a small, battery-powered medical device implanted in the chest that continuously monitored the resident's heart rate) for Resident 10. c. Develop an individualized CP to address smoking safety for Resident 75. d. Develop an individualized CP to address the actual fall on 5/28/2026 for Resident 86. […]