Valley View Manor Nursing Home

Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure a clean, comfortable, and homelike environment for two (2) of two (2) resident units (North and South units) and the main front entrance. Specifically, the North and South units had strong urine odors, and unclean walls and floors; and the main front entrance had trash that littered the walkway areas.

Inspectors wroteBased on record review and interviews the facility failed to ensure specific services outside the facility when the facility did not employ a qualified professional to furnish the specific service for one (1) of one (1) resident (Resident #22) reviewed. Specifically, Resident #22 was referred to neurology (nervous system specialist), rheumatology (autoimmune diseases, musculoskeletal disorders, and arthritis specialist), pulmonology (lung specialist), and ophthalmology (eye specialist) and the facility did not follow up on these referrals in a timely manner.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident's right to personal privacy and confidentiality of their personal and medical information for one (1) of one (1) resident (Resident #2) reviewed. Specifically, Resident #2 had a binder located in a holder outside their room, accessible to all, containing staff entries about the resident's personal care.

Inspectors wroteBased on observations, record review, and interviews (Intake #s 2714848 and 2729682) the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming and personal and oral hygiene for one (1) of three (3) Residents (Resident #3) reviewed. Specifically, Resident #3 had facial hair and shaving was not offered.

Inspectors wroteBased on observations, record review and interviews, the facility failed to ensure a resident who is fed by enteral means (feeding tube) receives the appropriate treatment and services to prevent complications of enteral feeding for one (1) of one (1) resident (Resident #37) reviewed. Specifically, Resident #37's enteral feeding formula, water flush containers, and tubing were not dated and timed.

Inspectors wroteBased on observations, record review, and interviews during the facility failed to ensure that residents who required dialysis services (filtration of blood when the kidneys do not work) received such services consistent with professional standards of practice for one (1) of two (2) residents (Resident #10) reviewed. Specifically, Resident #10 received hemodialysis treatments at a community-based dialysis center and did not have on-going assessments and oversight before and after dialysis treatments or consistent documented evidence of communication with the dialysis center.

Inspectors wroteBased on record review and interviews during abbreviated survey (NY00317123), the facility did not ensure residents were free from abuse and failed to protect residents from further abuse for 2 of 2 residents (Resident #2 and 4) reviewed, and 6 unidentified residents. Specifically, Resident #1 was cognitively impaired with a history of sexually inappropriate behaviors and there were no documented interventions to address the resident's ongoing behaviors or to protect other residents from abuse. Resident #2, a cognitively impaired resident, was touched on their breast by Resident #1. Two weeks later, Resident #2 was documented as being touched inappropriately by Resident #1. [...]

Inspectors wroteBased on record review and interviews during abbreviated survey (NY00317123), the facility did not ensure allegations of abuse and neglect were thoroughly investigated for 3 of 4 residents (Resident #1, #3, and #4) reviewed and for an additional 6 unidentified residents. Specifically, facility investigations did not identify concerns related to: -Resident #2, a cognitively impaired resident, was touched on their breast by Resident #1. Two weeks later, Resident #2 was documented as having Resident #1 rub their genitals against them. There was no documented evidence Resident #2 was assessed timely, no evidence the provider and the resident's family were notified timely and interventions to protect Resident #2 and other vulnerable residents were not implemented timely. - Resident #4, a cognitively impaired resident had their back and buttocks rubbed by Resident #1. [...]

Inspectors wroteBased on observation, record review, and interviews during the abbreviated survey (NY00357986), the facility did not ensure food related equipment functioned in accordance with professional standards for food service safety in the main kitchen. Specifically, the water temperatures of the wash and rinse sinks in the three bay sink system (a 3-step process used to manually wash, rinse, and sanitize dishware) were not hot and less than 110 degrees Fahrenheit.

Inspectors wroteBased on record review and interview during the recertification survey conducted 4/29/2024-5/3/2024 the facility did not ensure certified nurse aide performance reviews were completed once every 12 months for 2 of 3 certified nurse aides (certified nurse aides #9 and #10) reviewed. Specifically, certified nurse aides #9 and #10 did not have performance reviews documented at least once every 12 months.

Inspectors wroteBased on observation, record review, and interview during the recertification and abbreviated (NY00335434) surveys conducted 4/29/2024-5/3/2024, the facility did not review and revise the comprehensive care plan based on needs of the residents and responses to current interventions for 1 of 4 residents (Resident #47) reviewed. Specifically, Resident #47 had resident-to-resident altercations and their care plans were not reviewed and revised after the incidents to determine if current interventions were effective or if additional interventions were needed.

Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted 4/29/2024 - 5/3/2024, the facility did not ensure a resident with limited range of motion received appropriate treatment and services to prevent further decrease in range of motion for 1 of 2 residents (Resident #39) reviewed. Specifically, Resident #39 did not have their right resting hand splint applied as ordered.

Inspectors wroteBased on record review and interview during the recertification survey conducted 4/29/2024-5/3/2024, the facility did not ensure nursing staff had the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with facility assessment for 2 of 2 licensed nurse records (registered nurse #6 and licensed practical nurse #7) reviewed. [...]

Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted 4/29/2024-5/3/2024, the facility did not ensure each resident received and the facility provided food and drink that was palatable, flavorful, and at appetizing temperatures for 1 of 2 meals sampled (Resident #66). Specifically, food items on 1 of 2 test trays (4/30/2024 lunch meal) were not at acceptable temperatures.

Inspectors wroteBased on observation, record review, and interview during the recertification survey conducted 4/29/2024-5/3/2024, the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety in the main kitchen. Specifically, the kitchen ventilation hood was unclean and laden with grease and dust buildup; the floor in the walk-in freezer was unclean with food items under shelving storage; and a section of flooring in front of the main dish machine was in disrepair and had unclean water and food debris. The facility policy Cleaning/sanitation of Kitchen dated 8/2016, documented food service workers and/or cooks were responsible for maintaining a clean environment in the kitchen. All persons were responsible for cleaning up after themselves. [...]

Inspectors wroteBased on observation, record review and interview during the recertification and abbreviated surveys (NY00283712, NY00260801, NY00283446, NY00283054, and NY00267378) conducted 1/31/22- 2/4/22, the facility failed to ensure residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 5 of 6 residents (Residents #104, 155, 156, 158, and 160) reviewed. Specifically, Residents #104, 158, and 160 did not receive showers as planned, Resident #156 did not receive incontinence care as planned and Resident #155 was observed with unclean nails.

Inspectors wroteBased on observation, interview and record review during the recertification survey conducted 1/31/22 - 2/4/22, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, including COVID-19, for 1 of 3 residents (Resident #108) reviewed and for 3 staff (certified nurse aid, [CNA] #7, physical therapist [PT] #17 and activity aide #18). Specifically, the Assistant Director of Nursing (ADON)/Infection Preventionist (IP) did not perform appropriate hand hygiene during a wound treatment for Resident #108, and CNA #7, PT #17, and activity aide #18 were observed wearing face masks below their nose while in residential areas and in proximity (less than 6 feet) to residents.

Inspectors wroteBased on observation, record review and interview during the recertification survey conducted 1/31/22 - 2/4/22 the facility failed to assess residents to determine their ability to safely self-administer medication when clinically appropriate for 2 of 2 residents (Residents #108 and #206) reviewed. Specifically, Residents #108 and #206 had inhalers (hand-held, portable devices that deliver medication to the lungs) at their bedsides and there were no physician orders for self-medication administration or resident assessments to determine ability to safely self-administer medications.

Inspectors wroteBased on observation, interview and record review during the recertification survey conducted 1/31/22- 2/4/22, the facility failed to ensure residents had the right to a safe, clean, comfortable, and homelike environment for 6 of 12 bathrooms/shower rooms reviewed. Specifically, hot water temperatures were not comfortable and safe for resident use; the hot water temperatures measured at the sinks in shared resident bathrooms between rooms [ROOM NUMBERS] was 128 Fahrenheit (F); between rooms [ROOM NUMBERS] was 128 F; between rooms [ROOM NUMBERS] was 124 F; between rooms [ROOM NUMBERS] was 124 F; between rooms [ROOM NUMBERS] was 122 F; and the south wing shower room water was measured at 122 F.

Inspectors wroteBased on observation, record review, and interview during the recertification and abbreviated surveys (NY283054) conducted 1/31/22-2/4/22, the facility failed to ensure residents with pressure ulcers received necessary treatment and services consistent with professional standards of practice to promote healing, prevent infection, and prevent new ulcers from developing for 1 of 4 residents(Resident #208) reviewed. Specifically, Resident #208's pressure ulcer treatments were not completed as ordered.

Inspectors wroteBased on observation, interview and record review during the recertification and abbreviated surveys (NY00283712, NY00283446, and NY00283054) conducted 1/31/22-2/4/22, the facility failed to ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences for 2 of 2 residents (Residents #155 and 205) reviewed. Specifically, Resident #155 had a significant weight loss and did not receive nutritional supplements at meals as ordered. Resident #205 had a documented dairy and lactose allergy and received vanilla mousse containing lactose.

Inspectors wroteBased on record review and interviews during the recertification survey conducted 1/31/22-2/4/22, the facility failed to electronically submit encoded, accurate and complete Minimum Data Set (MDS) data to the CMS (Centers for Medicare and Medicaid Services) System within 14 days after the assessment completion date for 67 of 67 residents residing in the facility. Specifically, the MDS assessments for all 67 residents were not submitted within 14 days of completion.