Valley Vue Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Dec 27, 2022

  Based on observations, clinical record review, resident representative interview, staff interviews, facility policy, and facility record review, the facility failed to ensure residents were free from significant medication errors for 2 of 2 residents reviewed (Resident #133 and #25). The significant medication errors resulted in hospitalization s. The facility failure resulted in an Immediate Jeopardy to the health, safety, and security of the residents. The facility also failed to ensure the right dose of a medication was administered for 1 of 6 residents reviewed for administration of medications, (Resident #13). The facility also failed to ensure documentation of narcotic medication was completed according to accepted standards of practice. […]

• No harm, potential for more than minimal, isolatedF760Mar 12, 2026

  Based on record review, manufacturer's guidelines and staff interview, the facility failed to assure residents insulin pen was primed prior to insulin administration preventing a significant medication error for 1 of 1 resident reviewed (Resident #12). The facility reported a census of 32 residents.Findings include:During an ongoing observation on 3/11/2026 starting at 11:04 a.m., of Staff A, Registered Nurse (RN) preparing to check Resident #12's blood sugar prior to meal and administer insulin. Staff A checked the insulin orders and did not perform hand hygiene prior to applying gloves. Staff A removed the insulin pen from the medication cart and an insulin pen needle. Staff A turned the dial to 2 units without the insulin pen needle on it and pushed the trigger. […]

• No harm, potential for more than minimal, isolatedF880Mar 12, 2026

  Based on observation, infection control policy and staff interview, the facility failed perform proper hand hygiene and adhere to infection control guidelines during medication pass for 1 of 4 residents observed (Resident #12) The facility reported a total census of 32 residents.Findings include: During an ongoing observation on 3/11/2026 starting at 11:04 a.m., of Staff A, Registered Nurse (RN) preparing to check Resident #12's blood sugar prior to meal. Staff A removed items needed for blood sugar check. Staff A without performing hand hygiene applied gloves. With gloves on locked the medication cart, knocked on the residents door, opened the door to the residents room, picked up the barrier and placed the barrier onto the bed and placed supplies on the barrier. […]

• No harm, potential for more than minimal, isolatedF684Feb 13, 2025

  Based on observation, clinical record review, staff interviews and policy review, the facility failed to complete and document appropriate assessments and interventions for the necessary care and services, to maintain the residents' highest practical physical well-being for 2 of 13 residents reviewed (Resident #8 and #17). The facility failed to obtain and complete a treatment order for Resident #8's open area to the right buttocks. The facility also failed to complete neurological assessments after an unwitnessed fall and failed to document urinary assessment after suspecting a urinary tract infection after the fall for Resident #17. The facility reported a census of 38 residents. Findings include: 1. […]

• No harm, potential for more than minimal, isolatedF690Feb 13, 2025

  Based on observation, staff interview, and clinical record review the facility failed to provide appropriate catheter care for 2 of 2 residents reviewed (Resident #12 and #31). The facility reported a census of 38 residents. Findings include: 1. Resident #12's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The MDS identified Resident #12 was dependent on staff with transfer to the toilet and toileting hygiene. The MDS indicated that Resident #12 has an indwelling catheter. Resident #12's MDS included diagnoses of cerebrovascular accident (CVA), benign prostatic hyperplasia, neurogenic bladder (bladder dysfunction caused by nervous system conditions) and retention of urine. […]