Inspection Reports for
Valley View Manor Nursing Home
40 Park Street, Norwich, NY, 13815
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
13.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
161% worse than New York average
New York average: 5.1 deficiencies/year
Deficiencies per year
24
18
12
6
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Date: Dec 11, 2024
Visit Reason
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.
Findings
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.
Deficiencies (2)
R9-10-803.J — Free from abuse and neglect
R9-10-803.J — Investigate/prevent/correct alleged violation
Inspection Report
Abbreviated Survey
Deficiencies: 2
Date: Dec 11, 2024
Visit Reason
The abbreviated survey was conducted to investigate allegations of abuse and neglect involving sexually inappropriate behaviors by Resident #1 towards other residents, including failure to protect residents from abuse and inadequate investigation of incidents.
Complaint Details
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.
Findings
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.
Deficiencies (2)
F 0600: The facility failed to protect residents from all types of abuse including sexual abuse. Resident #1 exhibited ongoing sexually inappropriate behaviors towards multiple residents without timely assessments, notifications, or effective interventions to prevent recurrence.
F 0610: The facility failed to respond appropriately to alleged violations by not thoroughly investigating allegations of abuse and neglect for multiple residents, including failure to timely assess exposed residents and notify families and providers.
Report Facts
Residents affected: 2
Unidentified residents affected: 6
Incident reports delayed: 1
Medication dosages: 125
Medication dosages: 200
Medication dosages: 400
Medication dosages: 600
Frequency of checks: 15
Duration of checks: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #4 | Assistant Director of Nursing | Documented multiple incident reports and progress notes related to Resident #1's behaviors and investigations |
| Registered Nurse #10 | Registered Nurse | Documented incident report and progress notes on 5/20/2023 incident involving Resident #1 and Resident #4 |
| Social Worker #5 | Social Worker | Spoke with Resident #1 regarding incidents and educated resident on behavior |
| Licensed Practical Nurse #16 | Licensed Practical Nurse | Documented progress notes on incidents involving Resident #1 and Resident #2 |
| Registered Nurse Supervisor #7 | Registered Nurse Supervisor | Notified of incidents involving Resident #1 and other residents, documented progress notes |
| Corporate Director of Nursing | Director of Nursing | Provided interview regarding incident report procedures and expectations for assessments and notifications |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Nov 5, 2024
Visit Reason
One Level 2 standard health citation for food procurement, storage, preparation, and serving sanitation; corrected by December 20, 2024.
Findings
One Level 2 standard health citation for food procurement, storage, preparation, and serving sanitation; corrected by December 20, 2024.
Deficiencies (1)
R9-10-803.J — Food procurement,store/prepare/serve-sanitary
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Nov 5, 2024
Visit Reason
The abbreviated survey was conducted to evaluate compliance with food service safety standards in the facility's main kitchen.
Findings
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.
Deficiencies (1)
F 0812: The facility did not ensure food related equipment functioned according to professional standards. Water temperatures in the wash and rinse sinks were below 110 degrees Fahrenheit, failing to meet sanitization requirements.
Report Facts
Water temperature in wash sink: 92
Water temperature in rinse sink: 87
Acceptable hot water temperature range: 100
Acceptable hot water temperature range: 120
Sanitizing water temperature requirement: 171
Date loss of hot water occurred: Oct 21, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Director | Provided statements regarding water temperatures and sanitization procedures | |
| Administrator | Provided statements regarding expectations for food service staff monitoring water temperatures |
Inspection Report
Annual Inspection
Deficiencies: 6
Date: May 3, 2024
Visit Reason
The inspection was conducted as a recertification and abbreviated survey to assess compliance with regulatory requirements for Valley View Manor Nursing Home.
Findings
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.
Deficiencies (6)
F 0657: The facility did not review and revise the comprehensive care plan for Resident #47 after resident-to-resident altercations to determine if interventions remained effective.
F 0688: Resident #39 did not have their right hand resting splint applied as ordered, risking further decrease in range of motion.
F 0726: The facility did not ensure nursing staff had annual competency evaluations for registered nurse #6 and licensed practical nurse #7.
F 0730: Certified nurse aides #9 and #10 did not have documented performance reviews completed at least once every 12 months.
F 0804: Food items on a test tray for Resident #66 were served below acceptable temperatures, with chicken and gravy at 121°F and spinach at 130°F.
F 0812: The kitchen ventilation hood was unclean with grease and dust buildup; the walk-in freezer floor was unclean with food debris; and a section of flooring in front of the dish machine was broken and held water and food debris.
Report Facts
Incident dates: 2
Splint application frequency: 4
Food temperature: 121
Food temperature: 130
Inspection dates: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #6 | Registered Nurse | Named in deficiency for lack of annual competency evaluation. |
| Licensed Practical Nurse #7 | Licensed Practical Nurse | Named in deficiency for lack of annual competency evaluation. |
| Certified Nurse Aide #9 | Certified Nurse Aide | Named in deficiency for missing annual performance review. |
| Certified Nurse Aide #10 | Certified Nurse Aide | Named in deficiency for missing annual performance review. |
| Licensed Practical Nurse #14 | Licensed Practical Nurse | Witnessed resident altercation and provided statements regarding supervision. |
| Unit Assistant #15 | Unit Assistant | Provided observations about resident altercations. |
| Social Worker #13 | Social Worker | Provided progress notes and interview statements about care plans. |
| Director of Nursing | Director of Nursing | Provided interviews regarding care plan expectations and staff education. |
| Food Service Director | Food Service Director | Provided interviews regarding food temperature and kitchen sanitation. |
| Certified Nurse Aide #8 | Certified Nurse Aide | Interviewed about resident splint use. |
| Certified Nurse Aide #11 | Certified Nurse Aide | Interviewed about resident splint use. |
| Director of Therapy | Director of Therapy | Interviewed about splint application and therapy services. |
| Licensed Practical Nurse Unit Manager #12 | Licensed Practical Nurse Unit Manager | Provided interviews and progress notes related to resident care and splint use. |
| Corporate Director of Nursing | Corporate Director of Nursing | Provided interviews regarding staff competency and performance reviews. |
| Administrator | Administrator | Provided interviews regarding care plan expectations and staff education. |
| Registered Nurse #18 | Registered Nurse | Completed incident report for resident altercation. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 8
Date: May 3, 2024
Visit Reason
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.
Findings
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.
Deficiencies (8)
R9-10-803.J — Care plan timing and revision
R9-10-803.J — Competent nursing staff
R9-10-803.J — Food procurement,store/prepare/serve-sanitary
R9-10-803.J — Increase/prevent decrease in rom/mobility
R9-10-803.J — Nurse aide peform review-12 hr/yr in-service
R9-10-803.J — Nutritive value/appear, palatable/prefer temp
LSC — Sprinkler system - maintenance and testing
LSC — Subdivision of building spaces - smoke barrie
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: May 3, 2024
Visit Reason
The survey was conducted as a recertification and abbreviated survey to assess compliance with care plan requirements and resident safety.
Findings
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.
Deficiencies (1)
F 0657: The facility did not review and revise the comprehensive care plan based on the needs and responses of Resident #47 after resident-to-resident altercations. Interventions were not updated following incidents on 3/7/2024 and 4/22/2024, and staff did not provide appropriate activities or supervision to prevent aggressive behaviors.
Report Facts
Residents Affected: 1
Incident duration: 3
Medication dosage: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse Manager #12 | Licensed Practical Nurse Manager | Documented incident reports and progress notes related to Resident #47's aggressive behavior and medication changes |
| Registered Nurse #18 | Registered Nurse | Completed incident report on 3/7/2024 involving Resident #47 |
| Licensed Practical Nurse #14 | Licensed Practical Nurse | Witnessed incidents and provided statements regarding Resident #47's behavior and supervision |
| Social Worker #13 | Social Worker | Documented progress notes and interviewed regarding care plan and discharge goals for Resident #47 |
| Unit Assistant #15 | Unit Assistant | Interviewed about Resident #47's previous altercations and behavior |
| Director of Nursing | Director of Nursing | Interviewed regarding care plan updates and staff responsibilities for Resident #47 |
| Administrator | Administrator | Interviewed about expectations for staff to follow care plans and implement interventions |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 3
Date: Aug 29, 2023
Visit Reason
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.
Findings
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.
Deficiencies (3)
R9-10-803.J — Notice requirements before transfer/discharge
R9-10-803.J — Permitting residents to return to facility
R9-10-803.J — Transfer and discharge requirements
Inspection Report
Abbreviated Survey
Deficiencies: 3
Date: Aug 29, 2023
Visit Reason
The abbreviated survey was conducted to evaluate compliance with regulations regarding resident transfer, discharge planning, notification, and readmission policies following a complaint or concern.
Complaint Details
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.
Findings
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.
Deficiencies (3)
F 0622: The facility did not develop or implement an effective transfer or discharge planning process, lacking documentation and communication for a resident discharged due to behavioral issues.
F 0623: The facility failed to notify the resident, representative, and Ombudsman timely and in writing about the transfer or discharge and the reasons for the move.
F 0626: The facility did not permit a resident to return after hospitalization despite medical clearance, citing COVID-19 status without adequate planning or documentation.
Report Facts
Residents reviewed: 3
Beds available: 19
Discharge notice dates: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| DON #9 | Director of Nursing | Named in findings related to discharge planning, refusal to readmit resident, and communication failures |
| DSW | Director of Social Work | Involved in discharge planning and communication with resident's representative and hospital |
| Administrator | Facility Administrator | Provided statements regarding discharge decisions and facility policies |
| RN #8 | Registered Nurse | Documented hospital communication and resident status |
| LPN #4 | Licensed Practical Nurse | Involved in resident readmission refusal at facility lobby |
Inspection Report
Deficiencies: 0
Date: May 9, 2023
Visit Reason
The inspection was conducted as a regulatory survey of Valley View Manor Nursing Home to assess compliance with health and safety standards.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Capacity: 60
Deficiencies: 1
Date: May 9, 2023
Visit Reason
One Level 0 standard health citation for criminal history record check process; corrected by May 22, 2023.
Findings
One Level 0 standard health citation for criminal history record check process; corrected by May 22, 2023.
Deficiencies (1)
R9-10-803.J — Criminal history record check process
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 6
Date: Aug 4, 2022
Visit Reason
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.
Findings
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.
Deficiencies (6)
R9-10-803.J — Free of accident hazards/supervision/devices
R9-10-803.J — Investigate/prevent/correct alleged violation
LSC — Corridor - doors
LSC — Means of egress - general
LSC — Subdivision of building spaces - smoke barrie
LSC — Vertical openings - enclosure
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Feb 4, 2022
Visit Reason
The inspection was a recertification survey conducted from 1/31/22 to 2/4/22 to assess compliance with regulatory requirements for Valley View Manor Nursing Home.
Findings
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.
Deficiencies (7)
10NYCRR 415.3(e)(1)(vi) The facility failed to assess residents for safe self-administration of medications, allowing inhalers at bedside without physician orders or assessments for Residents #108 and #206.
10 NYCRR 415.29(j)(1) Hot water temperatures in 6 of 12 resident bathrooms/showers exceeded the maximum safe temperature of 115 F, measuring between 122 F and 128 F.
10NYCRR 415.11(a)(5) The facility failed to electronically submit accurate and complete MDS assessments within 14 days for all 67 residents.
10NYCRR 415.12 (a)(1)(4) The facility failed to provide adequate assistance with activities of daily living for 5 of 6 residents, including missed showers, unclean nails, and delayed incontinence care.
10NYCRR 415.12(c)(1) Resident #208's pressure ulcer treatments were frequently not administered as ordered, risking worsening of the wound.
10NYCRR 415.14(c) The facility failed to ensure residents received food accommodating allergies and preferences; Resident #155 did not receive ordered nutritional supplements and Resident #205 received a dairy-containing item despite a documented allergy.
10NYCRR 415.19(a)(1)(b)(4) The facility failed to maintain infection prevention practices; the ADON/IP did not perform proper hand hygiene during wound care and staff (CNA #7, PT #17, activity aide #18) were observed wearing masks below their noses.
Report Facts
Residents with late MDS submission: 67
Hot water temperature: 128
Weight loss: 11.4
Weight loss: 12.9
Weight loss: 12
Pressure ulcer size: 2.5
Pressure ulcer size: 1.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing (ADON)/Infection Preventionist (IP) | Performed wound care without proper hand hygiene and was interviewed about infection control practices. | |
| Licensed Practical Nurse (LPN) #3 | Named in wound care treatment refusals and meal tray checks. | |
| Certified Nurse Aide (CNA) #7 | Observed wearing mask below nose and interviewed about mask use. | |
| Physical Therapist (PT) #17 | Observed wearing mask below nose and interviewed about mask use. | |
| Activity Aide #18 | Observed wearing mask below nose and interviewed about mask use. | |
| Director of Nursing (DON) | Interviewed regarding hand hygiene and meal tray accuracy expectations. | |
| Dietitian (RD) #14 | Interviewed regarding nutritional supplement orders and expectations. | |
| Diet Technician #13 | Interviewed regarding nutritional supplement orders and expectations. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 7
Date: Feb 4, 2022
Visit Reason
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.
Findings
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.
Deficiencies (7)
R9-10-803.J — ADL care provided for dependent residents
R9-10-803.J — Encoding/transmitting resident assessments
R9-10-803.J — Infection prevention & control
R9-10-803.J — Resident allergies, preferences, substitutes
R9-10-803.J — Resident self-admin meds-clinically approp
R9-10-803.J — Safe/clean/comfortable/homelike environment
R9-10-803.J — Treatment/svcs to prevent/heal pressure ulcer
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Sep 13, 2019
Visit Reason
The survey was a recertification annual inspection to assess compliance with federal and state regulations for Valley View Manor Nursing Home.
Findings
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.
Deficiencies (5)
F 0578: The facility did not ensure a resident's right to request, refuse, or discontinue treatment and to formulate an advance directive. A resident's advance directive was changed by a healthcare proxy without the resident's consent, and the care plan was not updated accordingly.
F 0583: The facility did not protect residents' privacy by allowing unauthorized video recordings of residents during a facility event, which were aired on local news without consent.
F 0657: The facility failed to ensure resident and representative participation in care plan meetings for one resident, with no documented invitations or attendance for two years.
F 0689: The facility did not ensure a safe environment by failing to investigate and address a resident's suspected smoking in the facility, and did not timely care plan smoking behaviors or safety interventions.
F 0836: The facility lacked handwashing sinks in two soiled utility rooms, violating state and federal regulations and professional standards.
Report Facts
Residents Affected: 1
Residents Affected: 3
Residents Affected: 1
Residents Affected: 1
Soiled Utility Rooms: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social worker #1 | Interviewed regarding advance directive and care plan deficiencies | |
| Social worker #3 | Involved in handling resident smoking materials and privacy violation follow-up | |
| Registered nurse (RN) acting Unit Manager #2 | RN acting Unit Manager | Interviewed regarding advance directive and smoking safety deficiencies |
| Certified nurse aide (CNA) #4 | CNA | Reported resident smoking behavior |
| Registered nurse (RN) #5 | RN | Interviewed about resident smoking and safety interventions |
| Administrator | Interviewed about privacy violation and smoking incident investigations | |
| Admissions Coordinator #11 | Interviewed about resident smoking materials handling |
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