Inspection Reports for
Valley View Rehabilitation And Healthcare Ctr
1 Summit Avenue, Newton, NJ, 07860
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
15.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
194% worse than New Jersey average
New Jersey average: 5.2 deficiencies/yearDeficiencies per year
28
21
14
7
0
Occupancy
Latest occupancy rate
52% occupied
Based on a November 2023 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Notice
Deficiencies: 0
Date: Nov 20, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their medical information may be used and disclosed, and their rights related to this information.
Findings
The notice outlines the types of information covered, reasons for use and disclosure of health information, individual rights regarding their health data, legal duties of NJDHSS, and contact information for privacy concerns.
Report Facts
Effective date: 2011
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Devon L. Graf | Director | NJDHSS Privacy Officer named as contact for privacy practices |
Inspection Report
Routine
Deficiencies: 16
Date: Apr 22, 2025
Visit Reason
Routine inspection survey conducted to assess compliance with state and federal regulations including resident care, medication administration, staffing, infection control, and facility operations.
Findings
The facility was found deficient in multiple areas including failure to make state survey results accessible to residents, late submission and inaccurate coding of Minimum Data Set (MDS) assessments, incomplete comprehensive care plans, unclear oxygen orders and lack of oxygen signage, failure to ensure physician visits and progress notes were timely, inadequate RN coverage, medication administration errors, expired and improperly labeled medications, lack of qualified dietary staff, failure of the Licensed Nursing Home Administrator (LNHA) to provide adequate oversight and attend meetings, incomplete facility assessment documentation, late Payroll Based Journal (PBJ) submission, failure to provide evening snacks, poor kitchen sanitation, and inadequate infection prevention and control practices.
Deficiencies (16)
Failure to ensure State Survey results were readily accessible to residents.
Failure to complete and transmit Minimum Data Set (MDS) assessments within required timeframes.
Failure to accurately code Minimum Data Set (MDS) assessments for residents.
Failure to develop and implement comprehensive person-centered care plans including anticoagulant, antidepressant, and oxygen use.
Failure to clarify oxygen orders and lack of oxygen signage outside resident rooms.
Failure to ensure physician visits and progress notes were documented at least monthly.
Failure to ensure RN coverage for at least 8 consecutive hours daily, 7 days a week.
Medication administration errors including administering vitamin D capsules instead of tablets and incorrect measurement of Miralax.
Failure to properly label, store, and dispose of medications including expired Advair inhaler.
Failure to employ qualified Food Service Director and Registered Dietitian with required certifications.
Failure of Licensed Nursing Home Administrator (LNHA) to be physically present and actively involved in facility oversight and Quality Assurance meetings.
Failure to conduct and document annual facility-wide assessment to determine necessary resources for resident care.
Failure to submit Payroll Based Journal (PBJ) staffing data to CMS timely and completely.
Failure to provide and document evening snacks for residents when there was a long span between dinner and breakfast.
Failure to maintain proper kitchen sanitation practices including missing temperature logs, unlabeled opened food items, expired products, and unclean equipment.
Failure to provide appropriate infection prevention and control practices including urinary catheter care, hand hygiene, PPE availability, and signage for Transmission-Based Precautions.
Report Facts
Residents affected: 4
Residents affected: 2
Residents affected: 2
Residents affected: 3
Residents affected: 6
Residents affected: 6
Days without RN coverage: 5
Medications administered incorrectly: 3
Expired medication: 1
QA meetings missed by LNHA: 5
PBJ report missing: 1
Residents affected: 4
Missing temperature log days: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Observed administering medications and acknowledged medication errors |
| Director of Nursing | Director of Nursing | Interviewed regarding multiple deficiencies including oxygen orders, LNHA presence, infection control |
| Regional Licensed Nursing Home Administrator | Regional Licensed Nursing Home Administrator | Interviewed regarding LNHA presence and facility oversight |
| Food Service Director #1 | Food Service Director | Interviewed regarding kitchen sanitation and dietary qualifications |
| Food Service Director #2 | Food Service Director | Interviewed regarding dietary qualifications |
| Registered Dietitian #1 | Registered Dietitian | Interviewed regarding dietary services and qualifications |
| Staffing Coordinator | Staffing Coordinator | Interviewed regarding PBJ submission |
| Certified Nurse Assistant #1 | Certified Nurse Assistant | Interviewed regarding evening snack distribution and oxygen therapy observations |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Interviewed regarding oxygen therapy and resident care |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Interviewed regarding oxygen therapy |
Inspection Report
Routine
Census: 16
Deficiencies: 15
Date: Nov 22, 2023
Visit Reason
A Recertification Survey was conducted to determine compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities, including a Life Safety Code Survey and Emergency Preparedness review.
Findings
The facility was found not in substantial compliance with emergency preparedness requirements related to subsistence needs for staff and patients, care plan timing and revision, respiratory care, pharmacy services, qualified dietary staff, infection prevention and control, and life safety code deficiencies including fire alarm system and sprinkler system maintenance.
Deficiencies (15)
Failure to have an emergency menu readily available and stocked in accordance with facility policy and emergency menu requirements.
Failure to revise a comprehensive care plan post assessment for a resident who sustained a fall.
Failure to clarify a Physician's Order for administration in accordance with professional standards for respiratory care for one resident.
Failure to ensure medication was administered according to physician orders and acceptable standards of practice for six residents.
Failure to provide sufficient qualified dietary staff and ensure proper training and certification of Food Service Director and Food Service Director Consultant.
Failure to store food in a sanitary manner, label and date food items, and maintain accurate temperature logs in the kitchen.
Failure to submit payroll based staffing information to CMS in a timely manner.
Failure to maintain infection prevention and control program including hand hygiene and blood pressure equipment cleaning.
Failure to provide two acceptable exits remote from each other for each floor or fire remote from each other.
Failure to provide illuminated exit signs and directional signage for exit discharge doors.
Failure to conduct required semi-annual fire alarm system testing and maintenance.
Failure to conduct required quarterly sprinkler system inspections and maintenance.
Failure to install sprinklers in all required areas of the facility.
Failure to maintain electrical outlets with GFCI protection in wet locations.
Failure to ensure emergency generator remote manual stop station was operational.
Report Facts
Census: 16
Sample size: 10
Number of fire extinguishers inspected: 13
Number of sprinkler system inspections reviewed: 4
Number of fire alarm inspections reviewed: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Director | Food Service Director (FSD) | Named in emergency food menu deficiency and food safety findings |
| Registered Dietitian | Registered Dietitian (RD) | Named in emergency food menu deficiency and dietary staff qualifications |
| Licensed Nursing Home Administrative Consultant | Licensed Nursing Home Administrative Consultant | Acknowledged emergency food menu was not readily available |
| Director of Nursing | Director of Nursing (DON) | Named in care plan revision and life safety code survey |
| Regional Administrator Consultant | Regional Administrator Consultant | Named in care plan revision and life safety code survey |
| Licensed Practical Nurse | Licensed Practical Nurse (LPN) | Observed medication administration and named in medication deficiency |
| Administrator Assistant | Administrative Assistant (AA) | Named in payroll based journal submission deficiency |
| Life Safety Consultant | Life Safety Consultant (LSCC) | Named in fire safety and sprinkler system deficiencies |
| Maintenance Staff | Maintenance Staff (MS) | Named in life safety code survey and emergency generator inspection |
Inspection Report
Routine
Deficiencies: 3
Date: Nov 22, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care, food safety, staffing reporting, and facility sanitation.
Findings
The facility was found deficient in revising care plans post-fall for a resident, maintaining sanitary food storage and kitchen cleanliness, and timely submission of Payroll Based Journal staffing data to CMS. Multiple opened food items lacked proper labeling and dating, kitchen equipment and environment were not properly sanitized, and personal items were stored improperly in food areas.
Deficiencies (3)
Failed to revise a comprehensive care plan post fall for a resident who sustained a left radial fracture.
Failed to store foods in a sanitary manner, maintain kitchen environment and equipment in a clean and sanitary manner, and handle dishware to prevent cross contamination.
Failed to electronically submit complete and accurate direct care staffing information to CMS within a timely manner.
Report Facts
Deficiencies cited: 3
Fall risk scores: 5
Expiration dates: 72
Sanitizer concentration: 200
PBJ report quarter: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding responsibility for care plan updates. | |
| Regional Administrator Consultant, RN | Interviewed regarding care plan update responsibilities. | |
| Food Service Director (FSD) | Interviewed and observed during kitchen tour; acknowledged food safety and sanitation issues. | |
| Administrative Assistant (AA) | Interviewed regarding staffing submission responsibilities and failure to submit PBJ report timely. |
Inspection Report
Routine
Deficiencies: 7
Date: Nov 22, 2023
Visit Reason
The inspection was conducted as a routine regulatory survey to assess compliance with healthcare facility regulations, including care planning, respiratory care, medication administration, dietary services, staffing, infection control, and other operational standards.
Findings
The facility was found deficient in multiple areas including failure to revise care plans after a resident fall, failure to clarify physician orders for oxygen administration, medication administration errors, inadequate qualifications of the Food Service Director, unsanitary food storage and handling practices, failure to submit Payroll Based Journal staffing data timely, and lapses in infection control practices such as hand hygiene and equipment sanitization.
Deficiencies (7)
Failed to revise a comprehensive care plan post fall for a resident who sustained a left radial fracture.
Failed to clarify a Physician's Order for oxygen administration leading to oxygen being administered at a higher flow rate than ordered.
Failed to ensure medication was administered according to physician orders and standards, including incorrect timing of medication administration.
Failed to employ a qualified full-time Registered Dietitian or Dietary Manager to direct food and nutrition services.
Failed to store foods in a sanitary manner, maintain kitchen environment and equipment clean, and prevent cross contamination in food handling.
Failed to submit Payroll Based Journal staffing data to CMS in a timely manner for the third fiscal quarter of 2023.
Failed to follow infection control practices including hand hygiene and sanitizing blood pressure cuff between residents during medication pass.
Report Facts
Deficiencies cited: 7
PBJ Report Quarter: 3
Oxygen flow rate ordered: 2
Oxygen flow rate administered: 3
Medication administration times: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Responsible for developing, implementing, and updating care plans; interviewed regarding care plan deficiencies |
| Regional Administrator Consultant | Registered Nurse | Interviewed regarding care plan deficiencies and qualifications of Food Service Director |
| Licensed Practical Nurse | LPN | Observed administering medications and oxygen; acknowledged oxygen order discrepancy and medication timing error |
| Food Service Director | Food Service Director | Interviewed regarding qualifications and food service deficiencies |
| Food Service Director Consultant | Certified Dietary Manager | Responsible for training Food Service Director; interviewed about qualifications and audits |
| Registered Dietitian | Registered Dietitian | Interviewed regarding kitchen audits and Food Service Director oversight |
| Administrative Assistant | Administrative Assistant | Responsible for nursing staff scheduling and PBJ staffing report submissions |
| Licensed Nursing Home Administrator Consultant | Licensed Nursing Home Administrator Consultant | Interviewed regarding Food Service Director qualifications and oversight |
Inspection Report
Annual Inspection
Census: 18
Deficiencies: 1
Date: Jul 29, 2021
Visit Reason
The inspection was conducted to assess compliance with New Jersey state staffing requirements for nursing homes, specifically to verify adherence to minimum direct care staff-to-resident ratios as mandated by state law.
Findings
The facility was found not in compliance with the required minimum direct care staff-to-resident ratios during the day shift for multiple days in July 2021. The facility had only two Certified Nursing Assistants for 18 residents, failing to meet state staffing requirements.
Deficiencies (1)
Failure to maintain the required minimum direct care staff-to-resident ratios as mandated by the state of New Jersey.
Report Facts
Resident census during day shift: 18
Dates of staffing non-compliance: 14
Certified Nursing Assistants observed: 2
Inspection Report
Routine
Deficiencies: 4
Date: Jul 29, 2021
Visit Reason
The inspection was conducted to assess compliance with professional standards of nursing practice, respiratory care, and medication storage in the nursing facility.
Findings
The facility failed to consistently maintain professional nursing standards by not obtaining a physician's order for hemodialysis for one resident and incomplete documentation on the Electronic Treatment Administration Record for another. Additionally, respiratory care deficiencies were found for two residents related to oxygen therapy orders and administration. Medication storage practices were also deficient due to unlabeled and improperly stored multi-dose vials.
Deficiencies (4)
Failure to obtain a physician's order for hemodialysis for Resident #5.
Missing nurse's initials on Electronic Treatment Administration Record for Resident #13 for multiple dates.
Failure to provide safe and appropriate respiratory care for Residents #13 and #18, including oxygen therapy not in accordance with physician orders.
Failure to label and store multi-dose vials (Humalog insulin, Lantus insulin, and Tuberculin PPD) according to manufacturer specifications.
Report Facts
Missing nurse initials: 11
Days Lantus insulin vial opened: 56
Oxygen saturation readings below 92%: 2
Oxygen orders: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Confirmed lack of physician's order for hemodialysis and discussed oxygen therapy concerns |
| Hospice Case Manager | Hospice Case Manager/Registered Nurse (HCM/RN) | Provided information about oxygen therapy for Resident #18 |
| Registered Nurse | Registered Nurse (RN) | Interviewed regarding oxygen orders and administration for Resident #13 |
| Licensed Practical Nurse | Licensed Practical Nurse (LPN) | Inspected medication cart and refrigerator, confirmed unlabeled medication vials |
Inspection Report
Routine
Census: 17
Deficiencies: 0
Date: Feb 10, 2021
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the New Jersey Department of Health to assess compliance with infection control regulations and preparedness for COVID-19.
Findings
The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented CMS and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample size: 5
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