Average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 View Care And Rehabilitation during CMS and state inspections, most recent first.
Unclean Refrigerator Fan Covers and Spoiled Food in Walk-In Refrigerator: The facility failed to clean the circulatory fan covers in the walk-in refrigerator and failed to remove spoiled food stored for use. Surveyors observed greyish, clumpy buildup on both fan covers and a box of whole cucumbers with a thick white, fuzzy substance covering about half of the cucumbers. The DM stated the fan covers were not on a routine cleaning list and the cucumbers had been overlooked.
A resident’s headboard was observed broken with rough edges and splintering, and the chair rail molding behind the bed was chipped and pulled away from the wall. Two residents also had damaged chair rail molding in their rooms, including gouges, missing paint, and a pointed section where molding had separated. Staff interviews showed the damage had been noticed earlier by some aides, but work orders were not consistently entered or followed through, and the Maintenance Director and DON were unaware of the issues until survey observation.
Incomplete Care Area Assessments were found for 3 residents on comprehensive MDS assessments. The CAA summaries were left blank or lacked analysis for multiple triggered areas, including functional abilities, urinary incontinence and indwelling catheter, falls, nutritional status, pressure ulcer/injury, behavioral symptoms, cognitive loss/dementia, and psychotropic drug use. The MDS Coordinator stated she did not know how to complete the CAAs, and the DON and Administrator acknowledged the CAAs should have been completed.
MDS assessments were coded inaccurately for two residents’ medication use and one resident’s wander alarm use. Two residents were incorrectly marked as receiving an anticoagulant even though orders and MARs showed no anticoagulant administration, and another resident with vascular dementia had a physician-ordered wander alarm and elopement care plan that were not captured on the MDS. The MDS Coordinator said she confused antiplatelet therapy with anticoagulants and missed the alarm order.
Privacy Curtain Track Not Repaired: A resident with moderate cognitive impairment had a privacy curtain that would not fully close, and the issue remained unchanged on repeated observation. A NA said the curtain had not been closing all the way for a couple weeks and was unsure whether a work order had been submitted, while the Maintenance Manager, an RN, and the Administrator were unaware the track needed repair or whether a work order had been entered.
Failure to update the Facility Assessment annually. Record review showed the assessment was dated 3/20/25 with no documentation of review or update since then. The Administrator stated she knew the assessment was due but did not pass that information to the Interim Administrator, and the Interim Administrator stated she was not made aware it needed to be updated by 3/20/26.
The facility failed to follow pharmacy recommendations for two residents, leading to deficiencies in medication management. A resident on antipsychotic medication did not receive an AIMS assessment despite repeated recommendations, while another resident's PRN psychotropic medication lacked a 14-day stop date. The DON misunderstood the recommendations and did not update orders, contributing to these deficiencies.
A resident with severe cognitive impairment and dental issues did not receive timely dental services due to a lack of awareness and action by the facility. Despite a physician's order for a dental consultation, the resident experienced recurrent trauma from a defective denture, and the facility failed to expedite the necessary dental care.
Two residents with diabetes did not have their blood glucose levels monitored as ordered due to incorrect entry of physician orders into the electronic system. The orders did not appear on the MAR, leading to missed checks. Interviews with staff and administration revealed a lack of training and a process for verifying order entry, contributing to the oversight.
Two staff members failed to follow Enhanced Barrier Precautions (EBP) for residents with a feeding tube and a wound. A nurse did not wear a gown while administering a tube feeding, and the Wound Care Nurse did not wear a gown during wound care. Both nurses had received EBP education, but misunderstandings and communication lapses led to these deficiencies.
The facility failed to repair or replace damaged bed power cords in two resident rooms, compromising a safe and homelike environment. Observations showed exposed inner wires, and residents reported long-standing issues. The Maintenance Director was aware but did not conduct routine audits, and the Administrator acknowledged the oversight.
Unclean Refrigerator Fan Covers and Spoiled Food in Walk-In Refrigerator
Penalty
Summary
The facility failed to clean the circulatory fan covers in the walk-in refrigerator and failed to dispose of food stored for use that showed signs of spoilage. During an observation in the walk-in refrigerator, the two circulatory fan covers were found with a buildup of greyish, clumpy, crumbly substance that was covering both covers and moved when the fans were running. The same observation found a box of whole cucumbers on the top shelf of a food storage rack with a thick layer of white, fuzzy substance covering about 50 percent of the cucumbers. The box had a received date of 3/23 written on it. The Dietary Manager observed the fan covers and cucumbers with the surveyor and stated she was not aware the fan covers had a substance on them, that the fans were not on a routine cleaning list, and that she did not know the last time they had been cleaned. She also stated the cucumbers had been overlooked and that she had not yet checked the walk-in refrigerator for expired food. The Administrator stated that food storage areas should be cleaned on a routine basis and expired or spoiled food should be disposed of.
Broken Headboard and Damaged Chair Rail Molding
Penalty
Summary
The facility failed to maintain an intact headboard without rough edges for one resident and failed to maintain chair rail molding in good repair for two residents. During observation, one resident’s headboard was found broken with the left third missing, a rough edge along the remaining piece, and wood-like splinters on the metal mounts. The wall behind that resident’s bed also had chair rail molding that was chipped, splintered, and pulled away from the wall in multiple places. That resident was cognitively intact and dependent for bed mobility. In interview, the resident stated she could not see the headboard because she was unable to reposition herself and believed the damage may have occurred when her air mattress was changed. A nurse aide stated she noticed the headboard crack and that a broken piece fell when she touched it, and she also observed the chair rail molding pulled away from the wall. Other nurse aides stated they had noticed the cracked headboard weeks earlier, but work orders were not consistently entered or remembered, and one aide said she forgot to submit one after being shown the electronic system. A second resident’s room also had damaged chair rail molding over the bed. Observation showed gouges, missing paint, a section pulled away from the wall, and a pointed end where a piece of molding had separated. The resident stated the molding had been that way for as long as he could remember. A nurse aide said she had noticed a missing piece of molding weeks earlier and told a nurse, while another aide said she did not know the molding was broken. The Maintenance Director and Administrator stated they had not been aware of the broken molding or the broken headboard until the survey findings, and staff interviews showed confusion about how and whether work orders had been submitted.
Incomplete Care Area Assessments for Multiple Residents
Penalty
Summary
The facility failed to complete comprehensive Care Area Assessments (CAAs) to address the underlying causes and contributing factors for triggered care areas on the comprehensive assessments of 3 residents. For Resident #4, who was admitted with diagnoses including myocardial infarction, peripheral vascular disease, generalized anxiety disorder, and cognitive communication deficit, the admission MDS indicated the resident was cognitively intact. The CAA summary showed 6 triggered care areas, but the analysis section did not include information describing the resident’s problems, possible causes, contributing factors, risk factors, or reasons to proceed with care planning for functional abilities, urinary incontinence and indwelling catheter, falls, nutritional status, pressure ulcer/injury, and psychotropic drug use. For Resident #65, admitted with diagnoses including COPD, diabetes, schizoaffective disorder, and cognitive communication deficit, the admission MDS indicated the resident was cognitively intact. The CAA summary showed 7 triggered care areas, but the analysis was blank for cognitive loss/dementia, functional abilities, urinary incontinence and indwelling catheter, behavioral symptoms, nutritional status, pressure ulcer/injury, and psychotropic drug use. For Resident #9, admitted with vascular dementia, psychotic disturbance, and mood disturbance, the significant change MDS triggered psychotropic drug use, but the CAA summary had the care planning decision section blank and without documentation supporting the reason for care planning. The MDS Coordinator stated she did not know how to complete the CAAs, and the DON and Administrator stated they had received education about the CAA and understood it should have been completed.
Inaccurate MDS Coding for Medications and Wander Alarm Use
Penalty
Summary
The facility failed to accurately code MDS assessments for medications for two residents. Resident #18’s quarterly MDS indicated he was taking an anticoagulant, but the physician’s orders showed no anticoagulant order and the MAR for January 2026 showed he did not receive one. The MDS Coordinator stated she coded the resident incorrectly because she confused an antiplatelet medication with a similar sounding generic name for an anticoagulant. Resident #4’s annual MDS also indicated he was taking an anticoagulant, but the physician’s orders showed no anticoagulant order and the MAR for February 2026 showed he did not receive one. The MDS Coordinator stated she made the same type of error for Resident #4, confusing an antiplatelet medication with an anticoagulant. The facility also failed to accurately code Resident #9’s MDS for use of a wander alarm. Resident #9 had vascular dementia and physician orders included a wander alarm placed on the left lower leg with monitoring every shift. The care plan addressed elopement risk and wandering related to dementia and included use of an electronic monitoring device, but the significant change MDS and quarterly MDS did not indicate use of a wander/elopement alarm. The MDS Coordinator stated she was unaware of the order for the wander alarm and had missed it when completing the resident’s MDS assessments.
Privacy Curtain Track Not Repaired
Penalty
Summary
The facility failed to repair a privacy curtain track so that a resident's curtain could fully close and provide total visual privacy. This deficiency was identified for Resident #29, who was admitted on [DATE] and whose quarterly MDS dated [DATE] coded her with moderate cognitive impairment. On 4/28/26 at 9:30 AM, an observation of the resident's room showed the privacy curtain on the track was unable to fully close, and the resident later stated she had not paid attention to the curtain and did not know how long it had not fully closed. On 4/29/26 at 3:20 PM, the curtain track remained unchanged. A NA stated the curtain had not been closing all the way for a couple weeks and she did not know whether a work order had been submitted; she also stated she had not submitted one and assumed another NA or nurse had done so. The Maintenance Manager stated he was new to the facility, was unaware the track needed repair, and did not know whether a work order had been submitted. A nurse stated she was unaware the curtain track could not fully close and said she would put in a work order. The Administrator stated a burst water line in February 2026 may have damaged the track, that the facility had been using paper work orders at that time and later switched to electronic work orders, and that she did not know the track needed repair or whether a work order had been submitted.
Failure to Update Facility Assessment Annually
Penalty
Summary
The facility failed to review and update the Facility Assessment annually. Record review showed the Facility Assessment was dated 3/20/25, and there was no documentation that it had been reviewed or updated since that time or on an annual basis. During an interview on 4/30/26, the Administrator stated she had been on medical leave from sometime in November 2025 until April 2026 and that an Interim Administrator covered her position during that time. She further stated she knew the Facility Assessment was due but did not pass that information on to the Interim Administrator, and her plan was to review the Facility Assessment at the next QAPI meeting. In a separate interview on 4/30/26, the Interim Administrator stated she served as Interim Administrator for the month of March 2026 and had not been made aware that the Facility Assessment needed to be updated by 3/20/26.
Failure to Follow Pharmacy Recommendations for Medication Management
Penalty
Summary
The facility failed to adhere to pharmacy recommendations for two residents, leading to deficiencies in medication management. For Resident #46, who was diagnosed with paranoid schizophrenia, anxiety disorder, and major depressive disorder, the facility did not complete an Abnormal Involuntary Movement Scale (AIMS) assessment despite repeated recommendations from the Consultant Pharmacist. The pharmacist had recommended monitoring for involuntary movements due to the resident's use of olanzapine, an antipsychotic medication, but the Director of Nursing (DON) misunderstood the recommendation and did not ensure the AIMS assessment was conducted. In the case of Resident #17, who had diagnoses including type 2 diabetes mellitus, depression, and anxiety, the facility failed to implement a 14-day stop date for a PRN psychotropic medication, trazadone, as recommended by the pharmacy. Although the physician had signed off on the recommendation, the DON overlooked the need to add the stop date and did not discontinue the medication until several months later. The DON had been faxing signed physician responses to the pharmacy, mistakenly believing that the pharmacy would update the orders. Interviews with the Consultant Pharmacist, Medical Director, and Administrator confirmed the oversight in following pharmacy recommendations. The DON acknowledged the misunderstanding and the lack of proper documentation and order updates, which contributed to the deficiencies in medication management for both residents.
Failure to Provide Timely Dental Services
Penalty
Summary
The facility failed to provide necessary dental services for a resident who was admitted with diagnoses including type 2 diabetes mellitus and heart failure. The resident was care planned for oral and dental health problems, and a physician order for a dental consultation was issued due to a lesion caused by a defect in the resident's lower denture. Despite the order and the resident's severe cognitive impairment, which required a therapeutic and mechanically altered diet, the dental consultation was not completed, leading to recurrent trauma in the resident's mouth. The resident's family initially did not enroll the resident in the dental program, believing the stay would be short-term. However, once the decision was made for long-term residency, the resident was enrolled in the dental program. Despite this, the resident was not seen by the in-house dentist or dental hygienist, and the facility was unaware of the need for a triage form to expedite the dental consultation. The resident continued to experience pain and difficulty eating due to the unresolved dental issue. Interviews with facility staff revealed that the business office manager and the administrator were unaware of the triage option that could have facilitated an earlier dental evaluation. The resident was not included on the list for the dental provider's visit because the dentist had not evaluated the resident, resulting in a delay in addressing the dental issue. The facility's lack of awareness and failure to act promptly on the dental consultation order contributed to the deficiency.
Failure to Monitor Blood Glucose Levels Due to Incorrect Order Entry
Penalty
Summary
The facility failed to follow physician orders for monitoring blood glucose levels for two residents with diabetes mellitus type-2. Resident #23, who was cognitively intact, had an active physician order for blood glucose checks twice daily, which was not followed. The order was entered incorrectly by the Medical Director, causing it not to appear on the Medication Administration Record (MAR), leading to the oversight. Interviews with the resident, Nurse #1, the Medical Director, and the Director of Nursing (DON) confirmed the error in order entry and the lack of a process to verify the correct entry of orders. Similarly, Resident #17, who also had type 2 diabetes, had a physician's order for blood glucose checks twice daily, which was not completed for several days. The order was entered incorrectly by a Nurse Practitioner, resulting in it not being visible on the MAR. Nurse #2, who was responsible for the resident during some of the missed checks, was unaware of the order due to its incorrect entry. Interviews with the Medical Director and the DON revealed that the Nurse Practitioner and the Medical Director had not received adequate training for entering orders in the electronic medical chart, leading to the oversight. The Director of Nursing and the Administrator acknowledged the lack of a process for verifying the correct entry of orders into the electronic system. The absence of a second check for order entry contributed to the failure to monitor the residents' blood glucose levels as prescribed, highlighting a systemic issue in the facility's order entry and verification process.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to adhere to its infection control policies and procedures for Enhanced Barrier Precautions (EBP) for two residents. Nurse #1 did not wear a gown while administering a tube feeding to a resident with a feeding tube. Despite performing hand hygiene and wearing gloves, Nurse #1 neglected to don a gown, which is required for residents with indwelling devices under EBP. Nurse #1 acknowledged the oversight, attributing it to a misunderstanding about the EBP sign and a lapse in judgment. Similarly, the Wound Care Nurse did not wear a gown while performing wound care on a resident with a vascular wound. The nurse followed hand hygiene protocols and used gloves but failed to use a gown, mistakenly believing that EBP was only necessary if a wound culture grew an organism. The Wound Care Nurse later confirmed with the Infection Preventionist that EBP should have been in place for the resident's chronic wound. Interviews with the Infection Preventionist, Medical Director, Director of Nursing, and Administrator revealed that both nurses had received education on EBP. However, there was a lack of communication and understanding regarding the application of EBP for residents with indwelling devices and chronic wounds. The facility had sufficient personal protective equipment, and the lapses were attributed to human error and miscommunication.
Failure to Repair Damaged Bed Power Cords
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment by not repairing or replacing damaged bed power cords in two resident rooms. Observations revealed that the power cords in these rooms were wrapped with electrical tape, with sections of the outer protective coating missing, exposing the inner wires. Residents reported that the cords had been in this condition for an extended period, with one resident stating the damage had been present for two years. Despite the Maintenance Director's awareness of the issue, the cords remained unrepaired, and the replacement cord ordered did not fit, leading to further delays. The Maintenance Director admitted to not having a specific routine audit for bed power cords and was unaware of the extent of the damage across the facility. He acknowledged that the cords were damaged but did not believe they posed an electric shock hazard. The Administrator confirmed that the damaged cords should have been addressed when identified. The lack of timely action and proper maintenance procedures contributed to the deficiency, compromising the residents' right to a safe and comfortable environment.
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What surveyors actually found near you
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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.
Illustrative
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Nursing homes near Andrews
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Graham Healthcare And Rehabilitation Center | 8.1 mi | ★★★★★ | 6 | 0 |
| Clay County Health And Rehabilitation | 10.7 mi | ★★★★★ | 11 | 0 |
| Chatuge Regional Nursing Home | 17.9 mi | ★★★★★ | 9 | 0 |
| Murphy Rehabilitation & Nursing | 18.5 mi | ★★★★★ | 2 | 0 |
| Union County Nursing Home | 22.6 mi | ★★★★★ | 3 | 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.