Inspection Reports for Valley Center

The document is a plan of correction related to a special focus facility survey concluding on 05/14/2025, with review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Valley Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with previously cited deficient practices addressed.

An unannounced complaint and facility reported incident (FRI) investigation survey was conducted at Valley Center from 05/12/25 to 05/14/25.

The facility failed to notify the resident's representative of two significant changes in condition for Resident #123, who lacked capacity due to Alzheimer's disease. The resident's representative confirmed they were not notified of these changes, which included elevated pulse and altered mental status with other symptoms.

Complaint #38872 was unsubstantiated. The investigation found the facility failed to notify the resident's representative of two significant changes in condition for Resident #123, who lacked capacity due to Alzheimer's disease.

An unannounced complaint and facility reported incident (FRI) investigation survey was conducted at Valley Center on 05/07/25.

No deficiencies were cited on this survey. The complaints and facility reported incident investigated were unsubstantiated.

FRI #38954 unsubstantiated. Complaint #37434, #37616, #38606 unsubstantiated.

An unannounced complaint and facility reported incident (FRI) survey was conducted at Valley Center on 01/21/25.

The facility was found to be in substantial compliance and no citations were issued. Multiple complaints and facility reported incidents were all unsubstantiated.

Complaint #36596 was unsubstantiated. Facility Reported Incidents (FRI) #35629, #35324, #35024, #34789, and #33614 were all unsubstantiated.

The document is a plan of correction related to a special focus facility survey concluding on 10/09/24, accepted in lieu of an onsite revisit.

Valley Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with credible evidence accepted for correction of previously cited deficient practices.

The inspection was conducted as an investigation survey to review previously cited deficient practices and assess the facility's compliance with regulatory requirements.

Valley Center was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The review accepted plans of correction and credible evidence in lieu of an onsite revisit.

Investigation survey concluding on 09/25/24; facility found in substantial compliance with previously cited deficient practices.

An unannounced special focus facility (SFF) survey was conducted along with four complaints from 10/07/24 to 10/09/24 to investigate alleged deficiencies in care and compliance.

The facility was found deficient in multiple areas including failure to revise care plans timely, inaccurate assessments, incomplete medical records, improper medication storage and labeling, and inadequate infection control practices such as failure to wear gloves during blood glucose monitoring.

Four complaints were investigated: #32946 (substantiated with no deficient practice), #33550 (unsubstantiated), #33442 (unsubstantiated), and #33016 (unsubstantiated).

An unannounced complaint and facility reported incident (FRI) investigation survey was conducted from 09/23/24 to 09/25/24 based on multiple complaints and a facility reported incident.

The facility failed to ensure the environment was free of accident hazards by leaving medicated items accessible to wandering residents in multiple resident rooms. Twenty-five residents were identified to have wandering tendencies, increasing risk. Medicated items and personal hygiene products were found unlabeled and accessible in residents' rooms.

Facility Reported Incident (FRI) #32846 - Unsubstantiated; Complaint #32930 - Unsubstantiated; Complaint #32931 - Unsubstantiated; Complaint #32833 - Unsubstantiated; Complaint #32074 - Unsubstantiated; Complaint #32881 - Substantiated.

The inspection was conducted as an investigation survey to review previously cited deficient practices and assess the facility's compliance with regulatory requirements.

Valley Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The facility provided credible evidence and plans of correction accepted in lieu of an onsite revisit for the investigation survey.

Investigation survey concluding on 04/16/24; facility found in substantial compliance with previously cited deficiencies.

Follow-up survey to determine compliance with Federal, State, and local Emergency Preparedness requirements.

Based on review of facility documentation and staff interview, the facility was found to be without waivers and in compliance with all applicable Emergency Preparedness requirements.

An unannounced complaint investigation survey was conducted at Valley Center from 04/09/24 to 04/16/24 in response to Complaint #31887.

The facility was found to be in substantial compliance with applicable regulations. Complaint #31887 was unsubstantiated with no related or unrelated deficiencies cited.

Complaint #31887 was unsubstantiated with no related or unrelated deficiencies cited.

An unannounced special focus survey and complaint investigation survey was conducted at Valley Center from 04/08/24 to 04/16/24, including multiple complaints with one substantiated complaint.

The facility had multiple deficiencies including inaccurate Minimum Data Set (MDS) assessments, failure to report verbal abuse allegations timely, incomplete care plan revisions, failure to complete new PASARR screenings for residents with serious mental disorders, unsecured medications, unsigned pharmacist medication regimen reviews, failure to schedule dental appointments, improper infection control during medication pass, failure to provide Medicare beneficiary notices, inconsistent adherence to residents' advance directives and care plans, and inadequate pain management evaluation.

Complaint #31524 was substantiated; other complaints were unsubstantiated.

The inspection was conducted to assess compliance with fire safety and building maintenance standards, including sprinkler system maintenance, smoke barrier integrity, and electrical safety in the facility.

The facility was found deficient in maintaining the automatic sprinkler system according to NFPA 25, fire and smoke barriers according to NFPA 101, and electrical wiring and equipment according to NFPA 70. Multiple issues were observed including sprinkler system obstructions, unsealed penetrations in fire barriers, improperly maintained smoke barrier doors, and unsafe electrical power strip usage.

The inspection was conducted as a complaint investigation survey concluding on 10/17/2023, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Valley Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The facility is in substantial compliance with previously cited deficient practices.

The complaint investigation survey concluded on 10/17/2023 with the facility found in substantial compliance and no new deficiencies cited.

The inspection was conducted to review facility documentation and staff interviews to determine compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

The document is a plan of correction related to a complaint survey that concluded on 09/27/2023, submitted in lieu of an onsite revisit.

Valley Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with previously cited deficient practices addressed through the plan of correction.

The plan of correction was accepted in lieu of an onsite revisit for the complaint survey concluding on 09/27/2023. The facility is in substantial compliance with previously cited deficient practices.

The inspection was conducted as a complaint survey, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit for the complaint survey concluding on 09/27/2023.

Valley Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The facility is in substantial compliance with previously cited deficient practices.

The complaint survey concluded on 09/27/2023, and the facility was found in substantial compliance with previously cited deficient practices based on review of plans of correction and credible evidence.

An unannounced complaint investigation survey was conducted at Valley Center from 10/16/23 to 10/17/23.

The facility was in substantial compliance with 42 CFR Part 483 and West Virginia Nursing Home Licensure Rule. Complaint #29549 was unsubstantiated with no related or unrelated deficiencies cited.

Complaint #29549 was unsubstantiated with no related or unrelated deficiencies cited.

An unannounced special focus survey and complaint investigation survey was conducted at Valley Center from 10/10/23 to 10/17/23, including complaint investigations #29549 (unsubstantiated) and #29456 (substantiated).

The facility was found deficient in multiple areas including accuracy of assessments, dialysis services, reporting of alleged violations, resident self-determination, medication administration, infection control, environment safety and cleanliness, resident rights to participate in care planning, quality of care including catheter care and neurological checks after falls, and proper documentation and notification procedures.

Complaint #29549 was unsubstantiated. Complaint #29456 was substantiated.

The inspection was conducted to assess compliance with fire safety and life safety codes, including sprinkler system maintenance, smoke barrier doors, HVAC fire and smoke dampers, fire drills, and emergency generator testing.

The facility was found deficient in maintaining the automatic sprinkler system, smoke barrier doors, fire and smoke dampers, fire drills, and emergency generator testing in accordance with NFPA standards. Deficiencies were acknowledged by the Senior Maintenance Director and Administrator, with corrective actions planned or underway.

An unannounced complaint investigation survey was conducted from 09/25/23 to 09/27/23 to investigate complaint #29194.

The facility failed to develop and implement a comprehensive care plan for Resident #126, with incomplete focus areas, interventions, and goals. The complaint was unsubstantiated with an unrelated citation.

Complaint #29194 was unsubstantiated with an unrelated citation.

An unannounced complaint investigation survey was conducted at Valley Center from 09/25/23 to 09/27/23. The visit was triggered by complaint #29336, which was found to be unsubstantiated with unrelated deficiencies.

The facility was found deficient in several areas including failure to revise a resident's care plan to reflect changes in advanced directives, maintaining accurate and complete resident records including smoking status and 15-minute observation documentation, and failure to develop an ongoing program to support residents' choice of individual activities. Deficiencies were noted for residents #28, #126, #86, and #87.

Complaint #29336 was unsubstantiated with unrelated deficiencies.

An unannounced complaint investigation survey was conducted at Valley Center on 08/16/23.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and/or 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. All complaints investigated were unsubstantiated with no related or unrelated deficiencies cited.

Complaints #28872, #28658, #28942, #28694, #28851, and #28751 were all unsubstantiated with no unrelated deficiencies.

A Focused Infection Control Survey and Complaint Survey was conducted at Valley Center on July 3-4, 2023, triggered by complaints to assess compliance with infection control regulations and CMS/CDC COVID-19 practices.

The facility was found out of compliance with infection control regulations due to improper infection control practices during medication administration, specifically involving barrier use and handling of medications with bare hands. The complaints were unsubstantiated with no related deficiencies.

Complaints #28582, #28537, and #28472 were investigated and found to be unsubstantiated with no related or unrelated deficiencies.

The visit was conducted as a complaint investigation survey, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Valley Center, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The previously cited deficient practices were corrected.

The complaint investigation survey concluded on 2023-04-10. The facility was found to be in substantial compliance with previously cited deficient practices.

An unannounced complaint investigation survey was conducted at Valley Center from 04/24/23 to 04/25/23 based on complaints #28359, #28301, and #28289. Complaint #28359 was substantiated with related deficiencies cited.

The facility failed to properly investigate and report an alleged abuse incident involving Resident #130, who was found unresponsive and later died. The incident was not reported timely to appropriate authorities, and the facility did not follow its abuse and reporting policies. The Social Worker conducted an investigation and submitted findings to appropriate agencies. The Director of Nursing and Administrator acknowledged the failure and implemented corrective actions including staff re-education and monitoring.

Complaint #28359 was substantiated with related deficiencies cited at F607 and F609. Complaints #28301 and #28289 were unsubstantiated with no deficiencies cited.

The visit was conducted as an annual recertification/licensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Division of Health Nursing Home Licensure Rule.

Valley Center was found to be in substantial compliance with the applicable federal and state regulations. A review of plans of correction and credible evidence was accepted in lieu of an onsite revisit, confirming compliance with previously cited deficient practices.

Annual recertification, relicensure, and complaint investigation survey conducted at Valley Center from April 3-10, 2023, including substantiated complaints and routine compliance checks.

The facility had multiple deficiencies including failure to maintain resident dignity, inadequate pain management, failure to notify ombudsman of hospital transfers, incomplete nurse aide performance reviews, unsafe and unclean environment, incomplete dialysis communication, infection control lapses, incomplete care plans, inaccurate staffing data, incomplete advance directives, insufficient nursing staff, incomplete medication reconciliation, inadequate activity programming, incomplete immunization documentation, incomplete resident records, and failure to maintain food safety standards.

Multiple complaints were substantiated including issues related to resident dignity, pain management, notification of transfers, staffing, infection control, and quality of care.

The inspection was conducted to assess the facility's compliance with the NFPA 101 Life Safety Code, 2012, and applicable Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with the provisions of the NFPA 101 Life Safety Code, 2012, and all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced onsite revisit survey was conducted at Valley Center from May 9-11, 2022 for the annual survey concluding on March 3, 2022.

The facility was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division.

The inspection was conducted to review facility documentation and staff interviews to determine compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced annual recertification, annual relicensure, and complaint investigation survey was conducted at Valley Center from February 28-March 3, 2022.

The report includes multiple deficiencies related to resident rights, care planning, medication administration, infection control, environment, and quality assurance. Several complaints were substantiated with related deficiencies. Issues included failure to provide showers as preferred, improper handling of resident belongings, incomplete advance directives, medication errors, unsafe environment conditions, and inadequate infection control practices.

Multiple complaints were substantiated including issues with resident rights, care planning, medication administration, infection control, and environment. Specific complaints included failure to provide showers, mishandling of personal belongings, incomplete advance directives, medication errors, and poor infection control practices.

Routine inspection to assess compliance with NFPA standards and other regulatory requirements related to fire safety, electrical systems, and facility maintenance.

The facility was found deficient in multiple areas including maintenance and testing of sprinkler systems, corridor doors, smoke barriers, electrical wiring, HVAC dampers, fire drills, electrical receptacle testing, emergency generator maintenance, and fire door inspections. Deficiencies were acknowledged by facility staff and corrective plans were provided.

An unannounced complaint investigation was conducted at Valley Center on February 1 - 3, 2021, to investigate multiple complaints.

The facility was found in compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. All complaints investigated were unsubstantiated with no related or unrelated deficiencies cited. The facility was in substantial compliance with applicable long term care regulations.

Complaints #24287, #24063, #24029, #24960, #24874, and #24725 were all unsubstantiated with no related or unrelated deficiencies cited.

The visit was a Focused Infection Control survey conducted to assess compliance with infection control regulations and CMS/CDC recommended practices for COVID-19 preparation.

The facility, Valley Center, was found to be in substantial compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. A review of plans of correction and credible evidence was accepted in lieu of an onsite revisit.

A COVID-19 Focused Infection Control Survey was conducted to assess compliance with infection control regulations and CMS/CDC recommended practices related to COVID-19.

The facility was found out of compliance with infection control regulations due to a breach in the COVID-19 unit's zipper wall allowing airflow into the clean side and uncovered clean resident clothing in the hallway. Additionally, one resident was not offered influenza or pneumococcal immunizations as required.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on October 14, 2020.

The facility was found in compliance with 42 CFR infection control regulations and CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on September 23, 2020.

The facility was found in compliance with infection control regulations and CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency.

The facility was found in compliance with infection control regulations and CMS and CDC recommended practices to prepare for COVID-19.

An unannounced revisit was conducted at Valley Center on 01/27/20 to 01/28/20 for the annual recertification and relicensure survey concluding on 11/20/19.

The facility was found to have corrected the previously cited deficient practices, as reflected on the CMS-2567B.

The document is a Statement of Deficiencies and Plan of Correction related to a facility survey.

The facility was found in compliance with all applicable Federal, State and local Emergency Preparedness requirements.

Routine inspection of Valley Center nursing facility to assess compliance with fire safety, building codes, and resident rights regulations.

The facility was found deficient in multiple areas including corridor width obstruction, exit discharge obstructions, missing exit signage, open attic access doors, interior wall and ceiling finish penetrations, sprinkler system maintenance, smoke barrier construction and doors, electrical wiring and equipment safety, fire drills, smoking regulations, portable space heaters, and gas equipment signage. Corrective actions and staff reeducation plans were implemented for all deficiencies.

An unannounced annual re-certification and annual re-licensure survey was conducted at Valley Center from 11/18/19 through 11/20/19, including an extended survey on 11/19/19 through 11/20/19.

The survey identified multiple deficiencies including failure to ensure dignified dining experience, failure to provide written notification for room changes, failure to maintain a safe, clean, and homelike environment, failure to implement abuse reporting policies, failure to implement care plans for activities, dental needs, and smoking, failure to ensure proper treatment for vision impairment, failure to maintain a safe environment free of accident hazards, failure to ensure monthly drug regimen reviews, failure to provide palatable and properly temperatured food, failure to provide suitable snacks, failure to maintain food safety standards, and failure to maintain infection control practices.

The inspection was conducted as a complaint investigation survey triggered by complaint reference #22014, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Valley Center, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with no new deficient practices identified during this complaint investigation.

Complaint reference: #22014. The complaint investigation survey concluded on 03/28/19 with the facility in substantial compliance and previously cited deficient practices corrected.

An unannounced complaint survey was conducted at Valley Center from 03/25/19 to 03/28/19 based on complaint #22014 which was substantiated with related deficiencies cited.

The facility failed to ensure adequate staffing to meet resident needs, including timely answering of call lights and providing showers according to resident preferences. Resident #1 reported insufficient showers and staff shortages. Documentation showed Resident #1 had only five showers in 2019 with none documented in 2018 after admission. Resident council and staff interviews confirmed staffing shortages and delayed call light responses. The facility's staffing plan and actual staffing hours were reviewed, revealing discrepancies and staff shortages. The facility also failed to fully educate all nursing staff on teamwork and resident care responsibilities.

Complaint #22014 was substantiated with related deficiencies cited. The complaint investigation revealed issues with staffing shortages, delayed call light responses, and failure to provide showers per resident preference. Several residents and family members reported concerns about staffing and care delays. Five reportable allegations of neglect were investigated and found unsubstantiated. The nurse aide involved no longer works at the facility.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

Valley Center was found to be in substantial compliance with the applicable federal and state regulations based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

An unannounced revisit was conducted at Valley Center on 01/14/19 to 01/15/19 for the annual recertification and relicensure survey concluding on 11/09/18.

The facility was found to have corrected previously cited deficient practices. However, the facility failed to ensure Minimum Data Set (MDS) assessments were accurately completed for one resident (#94) regarding antipsychotic medication and gradual dose reduction documentation.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Division of Health Nursing Home Licensure Rule.

Valley Center was found to be in substantial compliance with the applicable federal and state regulations based on review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

An unannounced annual re-certification and annual re-licensure survey was conducted at Valley Center from November 5, 2018 through November 8, 2018.

The facility was found deficient in multiple areas including privacy during medication administration via feeding tube, accuracy of Minimum Data Set assessments, care plan revisions related to smoking status, quality of care related to IV therapy, competency of nursing staff for IV therapy, infection prevention and control, food safety, and quality assurance program effectiveness.

The inspection was conducted to assess the facility's compliance with the NFPA 101, Life Safety Code, 2012, and to evaluate compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2012, and all applicable Federal, State, and local Emergency Preparedness requirements.

Unannounced annual recertification and relicensure survey was conducted at Valley Center from December 11, 2017 through December 14, 2017.

The survey identified multiple deficiencies including failure to ensure call lights were within reach, inaccurate advance directive documentation, unsafe and unclean environment, improper use of restraints, failure to provide bed hold notices, inaccurate assessments, incomplete care plans, inadequate assistance with activities of daily living and dining, improper medication storage, and unsafe environmental conditions.

The inspection was conducted to evaluate compliance with fire drill procedures and electrical equipment testing requirements as part of routine regulatory oversight.

The facility failed to conduct fire drills at unexpected times and under varying conditions across all three shifts, and failed to document required testing procedures for portable patient care related electrical equipment (PCREE) in accordance with NFPA 99 standards.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of the facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a routine annual survey to assess compliance with federal regulations including fire safety, resident rights, and facility safety standards.

The facility was found deficient in several areas including failure to provide self-closing doors in hazardous areas, inadequate illumination of means of egress, and non-compliance with smoke tight sleeping room door requirements. Corrective actions were planned and implemented by maintenance staff.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted at Valley Center from November 14, 2016 through November 16, 2016 to assess compliance with federal and state regulations.

The facility was found deficient in several areas including failure to implement care plan interventions for pressure ulcers and falls, failure to provide adequate supervision and assistive devices to prevent accidents, and failure to properly label and dispose of expired or opened medications. Resident #30 was specifically cited for lack of pressure relieving cushion in wheelchair, unsafe self-transfers leading to falls, and medication management issues.

An unannounced complaint investigation was conducted at Valley Center for Complaint Reference 15765 and 15795.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with applicable federal and state nursing home regulations.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified.

An unannounced complaint investigation was conducted at Valley Center from June 27, 2016 to June 29, 2016 for Complaint Reference #15295.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified.

An unannounced complaint survey was conducted at Valley Center from April 11 to April 14, 2016, based on complaint #15295 which was substantiated with related deficiencies cited.

The survey found multiple deficiencies including failure to provide medically-related social services to assist a resident with restorative care scheduling, failure to promote dignity and respect in staff communication, failure to prevent decline in resident ambulation due to lack of restorative nursing program implementation, improper storage of clean linens, and incomplete and inaccurate clinical records documentation.

Complaint #15295 was substantiated with related deficiencies cited based on observations, clinical record reviews, resident, family, and staff interviews.

The inspection was conducted as a complaint investigation based on complaint references 14723 and 14919, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Valley Center, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, and the previously cited deficient practices were corrected.

Complaint investigation concluded on 02/11/16 with substantial compliance found; complaint references 14723 and 14919.

An unannounced complaint survey was conducted at Valley Center from February 9, 2016 to February 11, 2016. The survey was triggered by complaint #14723 which was substantiated, while complaint #14919 was not substantiated.

The facility failed to ensure appropriate incontinence care and infection control practices, including improper hand hygiene, failure to retract foreskin during perineal care, improper linen handling, and contamination risks. These deficiencies affected multiple residents and had the potential to affect all residents.

Complaint #14723 was substantiated with related deficiencies cited. Complaint #14919 was not substantiated.

The document is a plan of correction related to previously cited deficient practices following a Quality Indicator Survey concluding on 09/17/15.

Valley Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities. The facility submitted plans of correction and credible evidence accepted in lieu of an onsite revisit.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically regarding smoke barriers and sprinkler system maintenance.

The facility failed to maintain smoke barrier walls to provide at least a one half hour fire resistance rating, with multiple openings found in smoke barriers. Additionally, sprinkler piping was found to have cables draped over them, which is not allowed as per NFPA standards.

An unannounced annual Quality Indicator Survey was conducted at Valley Center from September 14, 2015 through September 17, 2015 to assess compliance with federal and state regulations.

The survey identified multiple deficiencies including failure to notify residents of room changes, inadequate housekeeping and maintenance services, inaccurate resident assessments, failure to honor resident shower preferences, inaccurate medication and care documentation, improper food preparation and service, failure to prevent urinary tract infections related to catheter care, and malfunctioning call light systems.

An unannounced complaint investigation was conducted from 05/26/15 to 05/28/15 at Valley Center for Complaint Reference 13627.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The complaint allegations were unsubstantiated with no deficient practices identified.

An unannounced complaint investigation was conducted from 09/23/14 to 09/25/14 at Valley Center for Complaint Reference 11696.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The complaint allegations were unsubstantiated and no deficient practices were identified.

The document is a plan of correction related to a prior Quality Indicator and Licensure Survey, addressing previously cited deficient practices at Valley Center nursing facility.

Valley Center is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with credible evidence accepted in lieu of an onsite second revisit for the Quality Indicator and Licensure Surveys concluding on 06/23/14.

An unannounced revisit was conducted at Valley Center on 08/18/14 to 08/19/14 for the Quality Indicator and Licensure Surveys concluding on 06/23/14 to verify correction of previous deficiencies.

The facility was found to remain out of compliance with care plan development (F279), care plan revision (F280), medical record accuracy (F514), and quality assurance (F520). Deficiencies included failure to develop a comprehensive care plan addressing use of Ativan and related behaviors for Resident #48, failure to revise care plan after healing of pressure ulcers for Resident #19, and failure to document physician's order discontinuing treatment for Resident #19. The facility's quality assurance program failed to implement corrective actions effectively.

Unannounced annual Quality Indicator and State Licensure Surveys, and two Complaint surveys were conducted concurrently with the facility's annual Federal Medicare/Medicaid certification resurvey and State licensure inspection.

The facility was cited for multiple deficiencies including failure to notify physicians of changes in resident condition, failure to promptly resolve grievances related to call light response times, failure to make survey results readily accessible, failure to ensure resident council privacy and responsiveness, inadequate housekeeping and maintenance, incomplete and inaccurate resident assessments and care plans, failure to provide care consistent with plans, unsafe environment hazards, improper food handling and storage, infection control deficiencies, failure to comply with state laws on employee background checks, and failure to maintain complete and accurate resident records.

Complaint #11450 and Complaint #11322 were substantiated with related deficiencies. Complaints included delayed call light response times and inadequate staff responsiveness.

The inspection was a recertification survey conducted to assess compliance with regulatory standards at the facility.

The facility failed to maintain smoke barrier walls with the required fire resistance rating and failed to keep means of egress free of obstructions, including an uncontained open wood fire near an exit, posing a fire hazard.

The inspection was conducted as a complaint investigation based on references 09684 and 10899, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Valley Center, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules, with no new deficiencies cited during this complaint investigation.

Complaint investigation concluded on 03/25/14 with references 09684 and 10899; the facility was found in substantial compliance with previously cited deficient practices.

The inspection was conducted as a complaint investigation, with review of plans of correction and credible evidence accepted in lieu of an onsite revisit for the complaint investigation(s) concluding on 2013-03-25.

Valley Center was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. The facility was in substantial compliance with previously cited deficient practices.

Complaint Reference: 10780. The complaint investigation concluded on 2013-03-25 with the facility found in substantial compliance.

Unannounced complaint investigations were conducted at Valley Center from March 19, 2014 through March 25, 2014, based on complaints #09684 and #10899.

The facility was found deficient in multiple areas including housekeeping and maintenance, neglect of residents, failure to investigate allegations of abuse/neglect thoroughly, dignity and respect issues, inaccurate assessments, incomplete care plans, inadequate pain management, failure to provide ordered treatments for pressure ulcers, improper catheter care, infection control breaches, pest infestation, nurse aide competency, unlocked medication carts, and inaccurate clinical records.

Complaints #09684 and #10899 were substantiated with related and unrelated deficiencies. The investigation revealed neglect, infection control breaches, and other quality of care issues.

This complaint investigation was conducted at Valley Center from March 19, 2014 through March 25, 2014, added to complaint surveys already in progress. The investigation was triggered by complaints #09684 and #10780.

The facility failed to ensure three of nine sampled residents received appropriate services to prevent urinary tract infections. Specifically, Resident #1 had an indwelling catheter not changed for over five months with signs of potential UTI, and Residents #51 and #119 received improper hygiene care increasing UTI risk.

The complaint was substantiated with a related citation based on observations, clinical record reviews, resident and family interviews, and staff interviews.

The document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance of the facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b).

Complaint investigation conducted from 12/16/13 to 12/19/13 related to substantiated complaints with related and unrelated citations.

The facility was found deficient in multiple areas including failure to notify a resident's physician of treatment refusal, incomplete care plans, failure to provide ordered care such as enteral tube flushes and blood sugar monitoring, improper food handling, inadequate drug labeling, and failure to implement infection control procedures. Additionally, clinical records were incomplete or inaccurate for some residents.

Substantiated complaint record with related and unrelated citations. Complaint reference numbers 13256 / 9180.

The inspection was conducted as a complaint investigation referenced by complaint number 13113 / 8113.

The complaint was unsubstantiated and no citations were issued as a result of the investigation.

Complaint Reference: 13113 / 8113. The complaint was unsubstantiated with no citations.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of the facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a complaint investigation related to complaint reference 13072 / 7895, which was unsubstantiated but resulted in unrelated citations.

The facility was found deficient in maintaining resident dignity by not removing dirty dishes and old food prior to lunch, failing to initiate neuro checks after a resident's fall, and not securing potentially hazardous items in a shower room accessible to wandering residents.

Complaint Reference: 13072 / 7895. The complaint was unsubstantiated but unrelated citations were found during the investigation.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of the facility.

The document references a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges in writing and orally in a language they understand, but does not provide detailed findings.

Routine inspection survey conducted to assess compliance with federal regulations related to resident rights, personal funds, grievance resolution, housekeeping, care planning, medication management, infection control, and other regulatory requirements.

The facility was found deficient in multiple areas including failure to convey resident funds within 30 days of death, unresolved grievances regarding misappropriation of resident property, failure to report all abuse allegations to state agencies, inadequate response to resident council concerns, unsanitary conditions in resident rooms and food service areas, incomplete care plans, failure to follow dialysis care protocols, unsafe medication practices, failure to post nurse staffing data daily, and failure to maintain accurate medical records.

The inspection was conducted to assess compliance with NFPA 72 National Fire Alarm Code and NFPA 99 standards related to fire alarm system maintenance and medical gas storage safety.

The facility failed to maintain the fire alarm system in accordance with NFPA 72 due to lack of documented sensitivity testing for smoke detectors. Additionally, oxygen bottles were improperly stored outside without proper full/empty signage and lacked a no-smoking sign in the storage area.

This document is a plan of correction related to a facility inspection, addressing deficiencies identified during the survey.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand.

The inspection was conducted due to substantiated complaints regarding failure to provide proper discharge notices, bed-hold policy notifications, and failure to allow resident re-admission after hospitalization.

The facility failed to provide a 30-day written discharge notice, failed to provide written notice of bed-hold policy at transfer, and failed to readmit a resident after hospitalization despite available beds. Additionally, the facility failed to maintain complete and accurate clinical records including medication administration and treatment documentation.

Substantiated complaint record with citations related to discharge notices, bed-hold policy, and re-admission. Unsubstantiated complaint record also noted. Complaint references: 7238 / 12174 (substantiated), 7392 / 12188 (unsubstantiated).

Re-visit to a complaint survey conducted on 9/28/2011 to verify correction of previously identified deficiencies.

No new issues were identified during the re-visit. The facility had implemented their plan of correction as written and was found compliant with previously cited tags F157, F246, F309, F323, and F328.

Complaint investigation related to substantiated complaint #11265 regarding failure to promptly notify physician of an acute change in a resident's condition and other care and safety concerns.

The facility failed to promptly notify the physician or physician extender when Resident #127 exhibited an acute change in level of consciousness while being treated for a urinary tract infection, resulting in the resident becoming non-responsive and requiring hospital transfer and ventilator support. Additional deficiencies included failure to ensure water accessibility for Resident #5, leaving medication cart unlocked and unattended, and failure to provide oxygen therapy as ordered for Residents #36 and #74.

Complaint reference #11265 substantiated with deficiencies cited related to failure to notify physician of acute change in Resident #127's condition.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for the facility.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a complaint investigation referencing complaints #11167, #11184 (substantiated with deficiencies cited), and #11208 (unsubstantiated with no deficiencies).

The facility was found deficient in several areas including failure to monitor a resident after starting a new medication (baclofen) which led to emergency hospitalization, failure to provide adequate grooming care to dependent residents, and failure to ensure a resident's drug regimen was free from unnecessary drugs without adequate monitoring or indication.

Complaint references #11167 and #11184 were substantiated with deficiencies cited. Complaint reference #11208 was unsubstantiated with no related deficiencies cited.

The visit was a follow-up survey to verify correction of previous deficiencies related to accident hazards and care planning for residents at risk of falls.

The facility failed to revise a resident's care plan to include interventions to prevent injury from falls, specifically failing to maintain a low bed position as ordered by the physician. Additionally, the facility did not implement safety measures such as bilateral floor mats and had inaccurate clinical record documentation practices, including premature completion of ADL sheets before care was provided.

The inspection was conducted in response to complaint references #11126, #11137, and #11138.

The complaint records were found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint references #11126, #11137, and #11138 were investigated and found to be unsubstantiated with no deficiencies cited.

Complaint investigation conducted concurrently with the facility's annual Federal Medicare/Medicaid certification resurvey and State licensure inspection due to substantiated complaint record with deficiencies cited for non-compliance with Federal Medicare/Medicaid certification requirements and State nursing home licensure rule.

Multiple deficiencies were found including failure to perform thorough investigations into employee backgrounds, failure to honor resident dietary preferences, failure to provide medically-related social services, failure to conduct comprehensive assessments and develop care plans, failure to monitor and prevent pressure ulcers, failure to ensure resident safety with side rails and call light systems, failure to monitor drug regimens properly, failure to maintain sanitary food preparation and storage, and failure to store drugs properly.

Complaint reference #11119. Substantiated complaint record with deficiencies cited for non-compliance with Federal Medicare/Medicaid certification requirements and State nursing home licensure rule.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements related to facility safety, including corridor doors, smoke barriers, hazardous area doors, ventilation, and emergency power systems.

The facility was found deficient in multiple areas including failure to maintain corridor doors to resist smoke passage, failure to mark doors that could be mistaken for exits, failure to maintain smoke barriers with required fire resistance, hazardous area doors not self-closing, improper exhaust ventilation creating a return air plenum in the attic, and failure to maintain emergency generator lighting as required.

Complaint investigation triggered by complaint reference #11107 regarding allegations of neglect and failure to report injuries of unknown source.

The facility failed to substantiate neglect for five residents found soaked with urine, failed to immediately report two injuries of unknown source, and failed to provide care to prevent decline of a left foot abrasion in one resident, resulting in delayed treatment of a Stage III pressure sore.

Complaint reference #11107 was substantiated with deficiencies cited related to neglect and failure to report injuries.

The inspection was conducted in response to complaint reference #11100.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #11100 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referencing complaint numbers #11011 and #11018.

The complaint records were found to be unsubstantiated with no deficiencies cited during the investigation.

Complaint references #11011 and #11018 were investigated and found to be unsubstantiated with no deficiencies cited.

Complaint investigations were conducted related to substantiated and unsubstantiated complaints, including failure to notify legal representative of a resident fall and failure to provide prompt medical care.

The facility failed to immediately notify the legal representative of a resident fall, failed to provide prompt medical assessment and intervention after the fall, and failed to document the incident timely and accurately. Additionally, the facility failed to implement infection control measures properly during a scabies outbreak, including inadequate handling of personal items and incomplete treatment of affected individuals. The quality assessment and assurance committee failed to ensure proper implementation of scabies outbreak procedures.

Complaint reference #10299 was substantiated with deficiencies cited related to failure to notify legal representative and failure to provide prompt medical care. Complaint reference #10305 was unsubstantiated with unrelated deficiencies cited.

The inspection was conducted as a complaint investigation related to complaint reference #10193, which was substantiated with deficiencies cited for non-compliance with Federal Medicare/Medicaid certification requirements and State licensure rules.

The facility failed to ensure that four residents (#5, #13, #116, and #127) were provided physician-ordered between-meal dietary supplements as required to maintain acceptable nutritional status. Supplements were found unopened and no documentation of offering or refusal was present.

Complaint reference #10193 was substantiated with deficiencies cited for non-compliance with Federal Medicare/Medicaid certification requirements and State licensure rules.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance for the facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, including Medicaid-related information.

Complaint investigation triggered by complaint reference #10164 regarding an outbreak of scabies among residents and staff.

The facility failed to implement appropriate infection control measures to manage a scabies outbreak, including failure to identify and treat all exposed individuals, lack of contact precautions, inadequate staff education, incomplete outbreak investigation, and poor documentation of treatment and follow-up. The administration failed to ensure effective management of the outbreak, risking harm to residents, staff, and visitors.

Complaint reference #10164 was substantiated with deficiencies cited related to infection control and resident care.

The inspection was conducted as a complaint investigation related to complaint reference #10098.

The complaint was substantiated; however, no deficiencies were cited during the investigation.

Complaint reference #10098 was substantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation related to substantiated allegations concerning inadequate background and license checks for newly hired employees.

The facility failed to conduct adequate out-of-state criminal background and licensing board checks for seven of seventeen sampled employees hired between December 2009 and April 2010, despite these employees having prior employment or residence in other states.

Complaint reference #10089 was substantiated with deficiencies cited related to failure to conduct adequate background checks and license verifications for employees.

Complaint investigations were conducted related to substantiated and unsubstantiated complaints regarding resident care and facility compliance.

The facility was found deficient in multiple areas including failure to notify physicians promptly of acute changes in resident condition, failure to prevent neglect resulting in physical harm, failure to develop and revise comprehensive care plans, failure to provide care to maintain highest practicable well-being, and failure to ensure 24-hour availability of physician services in emergencies.

Complaint references #9308 and #9318 were substantiated with deficiencies cited. Complaint reference #9341 was unsubstantiated with unrelated deficiencies cited.

The inspection was conducted in response to complaint reference #9206.

The complaint was found to be unsubstantiated and no deficiencies were cited during the inspection.

Complaint reference #9206 was unsubstantiated with no deficiencies cited.

This document is a plan of correction related to deficiencies identified during a prior inspection of the facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted to evaluate compliance with fire safety codes and facility regulations, including fire drills, fire alarm system maintenance, sprinkler system condition, and range hood extinguishing system inspections.

The facility failed to conduct quarterly fire drills on all shifts during the third quarter, failed to maintain the fire alarm system's trouble signal functionality, had corroded sprinkler heads in the kitchen area, and lacked required semiannual inspections of the range hood extinguishing system for the second half of 2008.

The inspection was conducted as an annual Federal Medicare/Medicaid certification resurvey and State licensure inspection, including a complaint investigation which was unsubstantiated.

The facility was found deficient in multiple areas including failure to ensure legal surrogates were properly designated and identified, failure to screen employees for licensure and tuberculosis, failure to maintain sanitary conditions, failure to complete comprehensive assessments and care plans, medication administration errors, failure to follow menus and maintain food safety, incomplete physician order documentation, infection control lapses, and incomplete resident records.

Complaint reference #9163 was unsubstantiated with no related deficiencies cited.

This document is a Plan of Correction submitted by the facility in response to cited deficiencies from a prior inspection.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, and services in writing and orally, as required by regulation.

The inspection was conducted as a complaint investigation, including substantiated and unsubstantiated complaints regarding medication administration and other care issues at the facility.

The facility failed to notify the family and physician when medications ordered for Resident #123 were not administered, failed to ensure medications were available and administered as ordered, and failed to maintain accurate and complete clinical records documenting reasons for missed medications for Residents #123 and #31.

Complaint reference #9059 was substantiated with deficiencies cited. Complaint references #9089 and #9135 were unsubstantiated with unrelated deficiencies cited.