Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
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 Center during CMS and state inspections, most recent first.
A resident with dementia and major depressive disorder who was enrolled in hospice did not have a care plan that addressed hospice or end-of-life needs. The DON confirmed the omission after reviewing the care plan, which did not include goals or interventions related to hospice services, despite facility policy requiring comprehensive, measurable care planning for all identified needs.
Staff failed to perform proper hand hygiene between glove changes during care for two residents, including those with chronic wounds and complex medical conditions. Observations showed that after removing soiled gloves, staff often donned new gloves without washing or sanitizing their hands, and hand washing when performed was frequently inadequate in duration, contrary to facility policy.
A facility failed to create a comprehensive care plan for a resident with Alzheimer's, dementia, anxiety, and paranoia. The care plan lacked personalized interventions for paranoia, despite staff knowledge of effective redirection techniques. Interviews revealed the care plan was generic and did not address the resident's specific mental health needs.
A resident with a skin tear on the left hand experienced improper wound care, as Steri Strips were left in place for 17 days without proper monitoring or maintenance. The resident reported occasional pain, and observations noted swelling, redness, and warmth. Interviews with staff revealed a lack of proper wound assessment and care, with reliance on undocumented physician visits and standing orders to let Steri Strips fall off naturally.
Care Plan Lacked Hospice/End-of-Life Focus for Resident on Hospice
Penalty
Summary
The facility failed to develop a care plan that addressed all of a resident's needs, specifically omitting a focus on hospice and end-of-life care for a resident with dementia and major depressive disorder who had been enrolled in hospice services. Review of the resident's admission record and physician orders confirmed hospice enrollment, but the current care plan did not include any goals, interventions, or measurable objectives related to hospice or end-of-life care. During an interview, the DON acknowledged the omission after reviewing the care plan with the surveyor. The facility's own policy requires that the comprehensive care plan include all services identified in the resident's assessment, with measurable objectives and timeframes to meet the resident's needs, but this was not followed in this case.
Failure to Perform Proper Hand Hygiene Between Glove Changes During Resident Care
Penalty
Summary
The facility failed to ensure effective hand hygiene practices were followed during resident care, as observed in multiple instances involving two residents. For one resident with multiple sclerosis, vascular disease, and lower extremity ulcers, staff were observed changing gloves without performing hand hygiene between glove changes during perineal care and wound care procedures. Specifically, after removing soiled gloves, staff donned new gloves without washing or sanitizing their hands, despite the presence of bowel movements and wound dressings. Additionally, hand washing performed by staff was observed to be inadequate in duration, with one instance lasting only approximately 7 seconds and another for about 5 seconds, both below the facility's policy requirement. Another resident with a chronic foot ulcer also received wound care in which the nurse removed soiled gloves and immediately donned new gloves without performing hand hygiene in between. Interviews with staff confirmed their awareness that hand hygiene should be performed with each glove change and that hand washing should last at least 20 seconds, as outlined in the facility's hand hygiene policy. However, these procedures were not consistently followed during direct care activities, as documented by surveyor observations.
Failure to Develop Comprehensive Care Plan for Resident with Paranoia
Penalty
Summary
The facility failed to develop a comprehensive and person-centered care plan for a resident diagnosed with Alzheimer's disease and dementia, who also suffers from anxiety and paranoia. The care plan, initially created and revised in 2019, included interventions for depression and anxiety but did not address the resident's paranoia or include personalized interventions for her mental health needs. The care plan lacked specific strategies to manage known triggers related to the resident's paranoia, which was a significant oversight given her history of becoming extremely paranoid and anxious, particularly after a failed gradual dose reduction of her medication, Remeron. Interviews with facility staff, including the Social Services Coordinator and a caregiver, revealed that the resident's care plan was generic and did not reflect her personal needs. The staff reported that the resident could be redirected with specific interventions such as reading a magazine, using a fidget apron, or watching a movie when her paranoia escalated. However, these interventions were not documented in her care plan. The Director of Nursing acknowledged that the care plan was not personalized, indicating a gap in the facility's approach to individualized care planning for residents with mental health needs.
Improper Wound Care and Infection Control Practices
Penalty
Summary
The facility failed to maintain standard infection control practices for wound care in a resident, leading to the potential for delayed wound healing and infection. The resident, who was cognitively intact, had a skin tear on the back of the left hand that was initially treated with Steri Strips. Observations revealed that the Steri Strips were improperly maintained, with edges peeling, dry, and crusted with old blood, indicating they had not been changed or monitored appropriately. The resident reported occasional pain in the wound area, and the Steri Strips had been in place for 17 days without being addressed, despite the presence of swelling, redness, and warmth. Interviews with facility staff, including a Shahbaz, an LPN, and the DON, revealed a lack of proper wound assessment and care. The LPN reported a standing order to apply Steri Strips and allow them to fall off naturally, but acknowledged that the strips had been in place for about two weeks. The DON admitted to not having assessed the wound personally and relied on the physician's undocumented visit. The facility's failure to adhere to proper wound care protocols, as outlined by the Steri Strip manufacturer and medical guidelines, contributed to the deficiency, as the wound was not visible for monitoring due to the improper use of Steri Strips.
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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.
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Nursing homes near Grand Rapids
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mission Point Nursing & Physical Rehabilitation Ce | 0.7 mi | ★★★★★ | 0 | 0 |
| Porter Hills Health Center | 1.2 mi | ★★★★★ | 0 | 0 |
| Holland Home - Raybrook Manor | 1.7 mi | ★★★★★ | 11 | 0 |
| Optalis Health & Rehabilitation At Kent-crossing | 1.8 mi | ★★★★★ | 33 | 0 |
| Beacon Hill At Eastgate | 2.7 mi | — | 2 | 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.