Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Valley Health Care Center during CMS and state inspections, most recent first.
The facility did not ensure an RN was on duty for at least eight consecutive hours each day, as required. Payroll and scheduling records showed numerous days without adequate RN coverage, with administrative and corporate float RNs attempting to fill gaps, but consistent coverage was not maintained, particularly on weekends.
The facility did not submit complete and accurate RN staffing hours to CMS via PBJ, with multiple dates lacking required RN clock in and out times and some documented RN hours not reported as required. The facility also lacked a policy for PBJ reporting and did not have a process to log hours for administrative or float RNs, resulting in incomplete staffing data.
A resident with PTSD did not have trauma-based triggers identified or individualized interventions implemented, despite documented symptoms and a care plan referencing annual assessments. Staff were unaware of the resident's PTSD diagnosis and the care plan lacked specific trauma information or coping strategies, contrary to facility policy requiring trauma-informed care.
Staff did not notify the physician when a resident with diabetes, schizoaffective disorder, and CHF refused or had scheduled Novolog insulin held, despite facility policy and physician orders requiring such notification. Documentation showed repeated instances of refusals and held doses without corresponding physician notification, as confirmed by record review and staff interviews.
Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to provide a Registered Nurse (RN) on duty for at least eight consecutive hours each day, seven days a week, as required. Payroll Based Journaling (PBJ) reports for Fiscal Year 2024 indicated that on 74 days, the facility did not have an RN present for the required duration. Further review of time clock and payroll data confirmed that only seven days within the year had full RN coverage, and from October 2024 to March 2025, there were 44 days without the mandated RN coverage. The facility's own monthly nurse schedules and RN clock-in/clock-out times corroborated these findings. Interviews with administrative staff revealed that RN coverage was primarily provided by the administrative nurse and a corporate float RN, but consistent coverage, especially on weekends, was not achieved. The facility had ongoing efforts to recruit additional RNs, but had not been successful in filling the position. The facility's policy required an RN to be present for at least eight consecutive hours every 24 hours, seven days a week, but this standard was not met for a significant number of days, placing residents at risk of decreased quality of care.
Failure to Accurately Report RN Staffing Hours in PBJ Submissions
Penalty
Summary
The facility failed to submit accurate and complete direct care staffing information to the Centers for Medicare and Medicaid Services (CMS) through Payroll Based Journaling (PBJ). Specifically, the facility did not report registered nurse (RN) coverage hours for multiple dates across several fiscal quarters, resulting in a one-star staffing rating and documentation of missing RN hours. On several occasions, the facility was unable to provide requested RN clock in and out times for staff hours, and in some instances, although documentation of RN coverage was available, it was not submitted in the PBJ as required. Additionally, there were periods when the facility lacked a method to log hours for administrative or corporate float RNs, leading to further omissions in PBJ submissions. The facility also failed to provide a policy regarding PBJ reporting when requested. The census at the time was 23 residents. The deficiency was identified through interviews and record reviews, which confirmed the absence of required staffing data and the lack of a systematic process to ensure all RN hours, including those worked by administrative and float staff, were accurately captured and reported to CMS.
Failure to Provide Trauma-Informed, Individualized Care for Resident with PTSD
Penalty
Summary
The facility failed to identify trauma-based triggers and implement individualized interventions for a resident diagnosed with post-traumatic stress disorder (PTSD). The resident's electronic medical record documented diagnoses of PTSD, schizoaffective disorder, and anxiety, with a recent assessment indicating intact cognition and active PTSD symptoms such as nightmares, hypervigilance, and being easily startled. The care plan noted the diagnosis of PTSD and referenced annual trauma-based assessments, but lacked specific information about the trauma, potential triggers, or personalized coping interventions. Observations showed the resident exhibiting guarded behavior, such as keeping curtains closed and isolating in a dark room. Interviews with staff revealed a lack of awareness regarding the resident's PTSD diagnosis and absence of detailed trauma-related information or interventions in the care plan or Kardex. The facility's policy required trauma-informed, culturally competent care, but the documentation and staff knowledge did not reflect individualized planning or identification of trauma triggers for the resident. This deficiency placed the resident at risk for decreased psychosocial well-being and ineffective treatment.
Failure to Notify Physician of Insulin Refusals and Held Doses
Penalty
Summary
Staff failed to notify the physician when a resident's scheduled Novolog insulin was refused or held, as required by facility policy and physician orders. The resident, who had diagnoses of type 2 diabetes mellitus, schizoaffective disorder, and congestive heart failure, was cognitively intact and mostly independent in activities of daily living. The care plan directed staff to administer insulin as ordered and to notify the physician if blood glucose levels were not within specified parameters. Review of the resident's electronic medical record and medication administration records over several months showed multiple instances where the resident either refused the scheduled Novolog insulin or the medication was held due to vital signs being outside of parameters. Despite these occurrences, there was a lack of documentation in the progress notes that the physician had been notified of the refusals or held doses, except for a single note indicating the provider's office was notified of frequent refusals with no new orders received. No further notifications were documented after that point. Interviews with nursing staff and administrative nurses confirmed that the physician should have been notified each time the resident refused or the medication was held, especially since the insulin order did not include specific hold parameters. Facility policy required immediate notification of the physician and resident representative when there was a need to alter treatment significantly, such as discontinuing or withholding a prescribed medication.
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Illustrative
What surveyors actually found near you
We read the 249 citations issued within 25 miles in the last 12 months — including the 6 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Valley Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nortonville Health Care Center | 9.1 mi | ★★★★★ | 49 | 4 |
| F W Huston Medical Center | 10 mi | ★★★★★ | 24 | 0 |
| Heritage Gardens Health And Rehabilitation Center | 11.5 mi | ★★★★★ | 0 | 0 |
| Easton Health Care Center | 17.9 mi | ★★★★★ | 14 | 0 |
| Holton Health Care Center | 18 mi | ★★★★★ | 39 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.