Valley Village Care Center

In the surveyor’s words

From the most serious findings on record at Valley Village Care Center, in the surveyor’s own words.

• Actual harm, isolatedF697Aug 12, 2021

  Based on interview and record review, the facility failed to effectively manage pain for one of two sampled residents (Resident 1). Resident 1's pain related to cancer was not relieved with the pain medication ordered as needed (PRN) [MEDICATION(S)] (controlled substance with high risk for addiction and dependence. It is a combination of [MEDICATION(S)] and acetaminophen, two pain relievers) and the licensed nurses did not notify the physician [MEDICATION(S)] was ineffective and did not request a routine pain medication. The licensed nurses did not accurately assess and document the resident's pain level after pain medication was administered, the lack of effectiveness of the pain medication, and the presence of side effects, such as feeling drugged and constipated. […]

• Actual harm, isolatedF656May 7, 2021

  Based on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for one of two sampled residents (Resident 1) by failing to do the following: 1. Develop and implement a care plan when Resident 1 got a positive laboratory result for coronavirus disease 2019 (COVID-19, a highly contagious respiratory disease that spreads from person to person) on [DATE]. There was no care plan developed on [DATE] to [DATE]. 2. Implement Resident 1's care plan to monitor, document, and report change of condition to physician when Resident 1 had a blood pressure of ,d+[DATE] millimeter of mercury (normal range of 90-,d+[DATE]-80 mmHg (unit of pressure) and heart rate of 52 beats per minute (normal range of ,d+[DATE] bpm) on [DATE] at 5:54 pm. 3. […]

• No harm, potential for more than minimal, widespreadF812Apr 5, 2022

  Based on observation, interview, and record review, the facility failed to the facility failed to maintain the kitchen in a clean, safe, and sanitary condition in which food was stored, prepared, and served in accordance with professional standards of food service safety. For 98 out of 98 residents (Residents 1-98) receiving food and / or using tableware from the kitchen, the facility did not: 1. Eradicate (destroy/kill) active rat (a rodent that resembles a large mouse, typically having a pointed snout and a long, sparsely haired tail; rats can carry many diseases and are responsible for transmitting diseases; rats communicate and mark their territory by urinating everywhere they go, representing a significant public health risk) infestation (presence of an unusually large number of rat… […]

• No harm, potential for more than minimal, patternF584May 8, 2026

  Based on observation, interview, and record review, the facility failed to provide a safe, comfortable, and homelike environment for two of two sampled residents (Residents 8 and 1) reviewed under Environment task and one of one sampled resident (Resident 50) during a random observation by failing to: 1. Ensure Resident 8 and 1's window was well sealed after the installation of a temporary portable Air Conditioner (AC - a freestanding, self-contained cooling unit) unit. 2. Maintain the cleanliness of Resident 50's electric desk fan. These deficient practices had the potential to negatively affect the residents' quality of life. Findings: a. […]

• No harm, potential for more than minimal, patternF755May 8, 2026

  Based on observation, interview, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) for two of five sampled residents (Resident 23 and 7) reviewed during the Medication Administration task, by failing to: 1. Ensure Licensed Vocational Nurse (LVN) 3 administered medication in the form prescribed by the physician and per facility policy and procedure (P&P) when LVN 3 crushed (pressing very hard so that the shape is destroyed and forms a soft powder) and administered Resident 23's crushed medications without a physician's order on 5/6/2026 during the 9 a.m. […]