Inspection Reports for
Valley View Manor Nursing Home

Two Level 2 standard health citations related to free from abuse and neglect and investigation/prevention of alleged violations; both corrected by January 26, 2025.

The survey was complaint-driven based on allegations of abuse and neglect involving Resident #1's sexually inappropriate behaviors towards other residents, including failure to protect residents and inadequate investigation of incidents.

The facility failed to ensure residents were free from abuse and did not adequately protect residents from further abuse. Resident #1 exhibited repeated sexually inappropriate behaviors towards other residents without timely assessments, notifications, or effective interventions. Incident reports were often delayed or incomplete, and other residents exposed to inappropriate behaviors were not properly assessed or documented.

One Level 2 standard health citation for food procurement, storage, preparation, and serving sanitation; corrected by December 20, 2024.

The facility failed to ensure that the water temperatures in the wash and rinse sinks of the three bay sink system met professional standards for sanitization. Water temperatures were measured below the required hot water standards during cleaning activities.

The facility was found deficient in multiple areas including failure to review and revise care plans after resident-to-resident altercations, failure to apply prescribed splints, lack of annual competency evaluations for nursing staff, missing performance reviews for certified nurse aides, serving food at unsafe temperatures, and inadequate kitchen sanitation and maintenance.

Multiple Level 2 standard health citations including care plan timing, competent nursing staff, food sanitation, mobility, nurse aide training, nutritive value; and Level 2 life safety code citations for sprinkler system and smoke barriers; all corrected by mid-2024.

The facility failed to review and revise the comprehensive care plan for Resident #47 after multiple resident-to-resident altercations, resulting in inadequate interventions for aggressive behaviors. Staff did not implement new interventions following incidents, and the facility nursing staff lacked traumatic brain injury training.

Three Level 2 standard health citations related to notice requirements before transfer/discharge, permitting residents to return, and transfer/discharge requirements; all corrected by September 29, 2023.

The survey was complaint-related, triggered by concerns about the facility's handling of a resident's transfer, discharge, notification, and readmission. The resident was discharged due to behavioral issues and was not readmitted after hospitalization despite medical clearance. The facility failed to notify the resident's representative and Ombudsman properly and lacked documentation supporting the discharge and refusal to readmit.

The facility failed to ensure proper transfer and discharge planning, including documentation and communication with the resident, representative, and receiving providers. The facility also failed to notify the resident and representative timely and appropriately about discharge and did not permit a resident to return after hospitalization due to COVID-19 status without proper planning or documentation.

One Level 0 standard health citation for criminal history record check process; corrected by May 22, 2023.

Multiple Level 2 standard health citations including accident hazards, investigation/prevention of alleged violations, and quality of care issues; and Level 2 life safety code citations including corridor doors, means of egress, smoke barriers, and vertical openings; all corrected by late 2022 or early 2023.

The facility had multiple deficiencies including failure to assess residents for safe self-administration of medications, unsafe hot water temperatures in resident bathrooms, failure to timely submit Minimum Data Set (MDS) assessments, inadequate assistance with activities of daily living, incomplete pressure ulcer care, failure to provide nutritional supplements and accommodate dietary restrictions, and lapses in infection prevention practices including improper mask use and hand hygiene during wound care.

Multiple Level 2 standard health citations related to ADL care, infection prevention, resident allergies, self-administered meds, environment, pressure ulcer treatment; and one Level 1 citation for resident assessments; all corrected by April 1, 2022.

The facility was found deficient in multiple areas including residents' rights regarding advance directives, privacy violations due to unauthorized video recordings, lack of family participation in care plan meetings, inadequate safety measures related to resident smoking, and missing handwashing sinks in soiled utility rooms.