Valley View Rehabilitation and Healthcare CTR

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF658Apr 24, 2025

  4. On 4/21/25 at 10:00 AM, the surveyor observed Resident #3 in the facility activity room. The resident was seated in a chair with their walker next to them. The resident was dressed and groomed, and the surveyor observed no oxygen being used by the resident. On 04/21/25 at 11:00 AM, the surveyor inspected the resident's room and found no oxygen concentrator. On 4/21/25 at 11:20 AM, the reviewed the hybrid medical chart for Resident #3, which revealed the following: A review of the Resident #3's AR documented that the resident was admitted to the facility with diagnoses that included but were not limited to: anemia (low levels of healthy red blood cells), major depressive disorder (persistent depressed mood), anxiety disorder (feelings excessive fear or worry) and Alzheimer's disease (a… […]

• No harm, potential for more than minimal, widespreadF712Apr 24, 2025

  3. On 4/21/25 at 10:00 AM, the surveyor observed Resident #3 in the facility activity room. The resident was seated in a chair with their walker next to them. The resident was alert and showed no signs of behaviors. The resident was participating in activities with other residents. On 4/21/25 at 11:20 AM, the surveyor reviewed the hybrid (paper and electronic) medical chart for Resident #3 which revealed the following: A review of the Resident #3's admission Record (an admission summary) documented that the resident was admitted to the facility with diagnoses that included but were not limited to: anemia, major depressive disorder, anxiety disorder and Alzheimer's disease. […]

• No harm, potential for more than minimal, widespreadF727Apr 24, 2025

  Based on interview and review of the Nurse Staffing Report it was determined that the facility failed to ensure that a required Registered Nurse (RN) was present at the facility 7 days a week for at least 8 consecutive hours a day for 5 of 14 days reviewed. This deficient practice was evidenced by the following: Per the Interpretive Guidance §483.35(b) Facilities are responsible for ensuring they have an RN providing services at least 8 consecutive hours a day, 7 days a week. However, per Facility Assessment requirements at F838, §483.70(e), facilities are expected to identify when they may require the services of an RN for more than 8 hours a day based on the acuity level of the resident population. If it is determined the services of an RN are required for more than 8 hours a day. […]

• No harm, potential for more than minimal, widespreadF801Apr 24, 2025

  Repeat Deficiency Based on observations, interview, review of facility job descriptions, it was determined that the facility failed to employ either a full time Registered Dietitian (RD) or a Dietary Manager (DM) that meets the qualifications to function as a director of food and nutrition services. This deficient practice was evidenced as follow: On 4/21/25 at 9:15 AM, the surveyor interviewed the Food Service Director (FSD #1), who is the FSD from another facility, but is covering for the facility FSD #2 today. FSD #1 revealed they work in a regional FSD capacity but does not come to the facility often. Per FSD #1, FSD #2 does not have any current dietary certifications, ServSafe, Certified Dietary Manager (CDM), and/or Certified Food Protection Professional (CFPP). […]

• No harm, potential for more than minimal, widespreadF809Apr 24, 2025

  Based on interview, and review of pertinent facility documents, it was determined that the facility failed to serve and document residents received a nourishing snack in the evening when there was more than a 14-hour span between dinner and breakfast mealtimes. This deficient practice was identified for 4 of 4 residents (Resident # 1, # 6, #15, and #16), during the 4/22/25 Resident Council group meeting and evidenced by the following: On 4/22/25 at 10:27 AM, the surveyor conducted the resident council meeting with four resident (Resident # 1, # 6, #15, and #16), who were alert and oriented, and selected by the facility to attend the group meeting. All four residents stated that they were not offered or received snacks in the evening. […]