Valley Vista for Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Valley Vista for Nursing and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF686Jun 13, 2024

  Based on observations, resident and staff interviews, record review, facility policy and procedure, the facility failed to provide care consistent with professional standards of practice to prevent pressure ulcers from deteriorating on residents with history of pressure ulcers for two of four residents reviewed (Resident #1 and #8). The facility reported a census of 54 residents. Findings include: The MDS (Minimum Data Set) assessment identifies the definition of pressure ulcers: Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. […]

• Actual harm, isolatedF684Jun 23, 2022

  Based on review of the facility's medication reference handbook, clinical record review, and staff and provider interviews, the facility failed to ensure staff provided proper assessment and timely interventions for 1 of 18 residents reviewed (Resident # 25). This failure caused Resident #25 to suffer [MEDICATION(S)] withdrawal symptoms which required a transfer to the emergency room for evaluation and treatment. The facility reported a census of 65 residents. Findings include: The admission Minimum Data Set (MDS) dated [DATE] revealed Resident #25 documented the resident scored 11 of 15 possible points on the Brief Interview for Mental Status (BIMS) test, which meant she demonstrated moderately impaired cognitive abilities. […]

• Actual harm, isolatedF686Jun 23, 2022

  Based on observation, record review, and interviews, the facility failed to provide services in accordance with professional standards of practice to prevent the formation of a pressure sore, and also failed to provide preventative nursing interventions to aid in continued healing for 1 of 3 residents reviewed (Resident #33). The facility reported a census of 65 residents. Findings included: According to the Minimum Data Set (MDS) dated [DATE], Resident #33 demonstrated severely impaired cognitive abilities and required extensive assist of 2 staff for bed mobility, transfers, and personal hygiene. The MDS identified the resident had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF760Jun 23, 2022

  Based on clinical record and policy review and medical provider, pharmacy, and staff interviews, the facility failed to prevent 1 of 5 residents reviewed from experiencing withdrawal signs and symptoms which resulted in an emergency room transfer for evaluation, and treatment due to a significant medication error for 1 of 5 residents reviewed (Resident #25). The facility reported a census of 65 residents. Findings include: The admission Minimum Data Set (MDS) dated [DATE] for Resident #25 identified she scored 11 of 15 possible points on the Brief Interview for Mental Status (BIMS) est, which meant she demonstrated moderately impaired cognitive abilities. […]

• No harm, potential for more than minimal, patternF657Aug 14, 2025

  Based on observations, electronic health record review (EHR), staff interview, and policy review, the facility failed to update resident Care Plans in a timely manner to reflect current conditions and interventions for 5 of 19 resident Care Plans reviewed (Residents #4, #6, #22, #26, and #46). The facility reported a census of 54 residents.Findings include: 1. The Quarterly Minimum Data Set (MDS) Assessment completed on [DATE] revealed Resident #4 with a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. Diagnoses on the MDS include diabetes and end stage renal disease (ESRD). […]