Above average — CMS composite of the measures below.
The next survey window likely opens around January 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 Embassy Of Valley View during CMS and state inspections, most recent first.
The facility failed to ensure an effective Water Management Program to prevent and detect Legionella in the water supply. No disinfectant levels or Legionella testing were conducted, and only water temperatures were checked. This failure had the potential to affect all 47 residents.
The facility failed to ensure adequate indications for the use of antipsychotic medications for four residents, administering medications with FDA Black Box Warnings against their use in elderly patients with dementia-related psychosis. The Director of Nursing confirmed the inappropriate use of these medications.
The facility failed to have emergency supplies on hand for a resident with a tracheostomy. The resident, who has multiple medical diagnoses including laryngeal cancer and a tracheostomy, was observed without necessary emergency equipment such as a resuscitation bag, oxygen supply, suction device, or tracheostomy mask at the bedside. This deficiency was confirmed by a nurse and was only rectified after physician orders were documented the following day.
The facility failed to provide timely refunds for overpayments of stay for two residents who expired in the facility. One resident's refund was delayed, and another's refund had not been processed at the time of the survey, despite the facility's Admission Agreement stating that refunds should be issued within 30 days.
The facility failed to provide the required 12 annual in-service training hours for two STNAs. One STNA had only seven hours, and another had only three hours of training. This deficiency was confirmed by the Business Office Manager and had the potential to affect all 47 residents.
Failure to Implement Effective Water Management Program
Penalty
Summary
The facility failed to ensure an effective Water Management Program was in place to prevent and/or detect the presence of Legionella in the water supply. The facility's water testing logs from January 1, 2024, through May 29, 2024, revealed no disinfectant levels were tested, and no Legionella testing was conducted. The only testing performed on the facility water supply were temperatures obtained weekly from the sink, shower, and tub faucets, with all results between 105 degrees Fahrenheit and 120 degrees Fahrenheit. This was confirmed by the Maintenance Director, who also stated that no other facility staff members were part of the Water Management Program and no testing for disinfectant residual levels, pH levels, or presence of Legionella bacteria were conducted on facility water samples. The facility's policy on Infection Control/Water Systems, revised in September 2018, indicated that Legionella is a bacteria found naturally in fresh water and can colonize in water distribution lines throughout a water system, contaminating water supplies. The policy also mentioned that risk factors include water flow, disinfection, and water temperatures, and that chemical testing would be conducted where necessary. However, the facility did not adhere to these guidelines, as evidenced by the lack of testing for disinfectant residual levels, pH levels, or the presence of Legionella bacteria. This failure had the potential to affect all 47 residents residing in the facility.
Inadequate Indications for Antipsychotic Medications
Penalty
Summary
The facility failed to ensure adequate indications for the use of antipsychotic medications for four residents. Resident #9, diagnosed with severe dementia with psychotic disturbances and hallucinations, was administered Haloperidol Lactate Oral Concentration despite the FDA Black Box Warning indicating that Haloperidol is not approved for treating dementia-related psychosis. The Director of Nursing confirmed the use of this medication for Resident #9's condition during an interview. Resident #35, with diagnoses including unspecified dementia and psychotic disorder with hallucinations, was prescribed Geodon (Ziprasidone HCl) despite the Black Box Warning indicating increased mortality in elderly patients with dementia-related psychosis. The Director of Nursing confirmed the administration of Geodon for Resident #35's condition. Similarly, Resident #34, diagnosed with unspecified psychosis, was administered Secuado (Asenapine) Transdermal Patch, which also carries a Black Box Warning against its use in elderly patients with dementia-related psychosis. Resident #10, with multiple diagnoses including unspecified dementia and schizoaffective disorder, was prescribed Risperdal and Venlafaxine, both of which have Black Box Warnings against their use in elderly patients with dementia-related psychosis. The Director of Nursing verified that unspecified dementia is an unacceptable diagnosis for the use of these medications. The facility's policy on Consulting Pharmacist Monthly Drug Review defines an unnecessary drug as any drug used without adequate indication for its use.
Failure to Provide Emergency Supplies for Resident with Tracheostomy
Penalty
Summary
The facility failed to have emergency supplies on hand for a resident with a tracheostomy. This deficiency was identified during a review of Resident #10's medical record, observations, and staff interviews. Resident #10, who has multiple medical diagnoses including unspecified dementia, laryngeal cancer, and a tracheostomy, was observed on 05/28/24 without necessary emergency equipment such as a resuscitation bag, oxygen supply, suction device, or tracheostomy mask at the bedside. The absence of these critical supplies was confirmed by Registered Nurse #50 during the observation. Further review of the resident's physician orders for May revealed no orders for maintaining emergency equipment prior to 05/29/24. It was only on 05/29/24 that orders for interventions related to an ambubag and emergency equipment were documented. Subsequent observations on 05/29/24 and 05/30/24 confirmed that the required emergency equipment was then available at the resident's bedside. However, the initial lack of emergency supplies on 05/28/24 constituted a significant deficiency in the care provided to Resident #10.
Failure to Provide Timely Refunds for Overpayments
Penalty
Summary
The facility failed to provide timely refunds for overpayments of stay for two residents who expired in the facility. Resident #98, diagnosed with Alzheimer's disease and heart disease, expired on a specified date, and a refund check for $6808 was mailed to the resident's wife after a delay. Resident #299, diagnosed with dementia and adult failure to thrive, also expired on a specified date, but no refund check for the overpayment of $4937 had been submitted to corporate for payment at the time of the survey. The responsible parties for both residents had privately paid for their stays. The Business Office Manager (BOM) confirmed the delay in issuing the refund check for Resident #98 and acknowledged that the refund for Resident #299 had not yet been processed. The Licensed Social Worker (LSW) also confirmed that Resident #98's wife had inquired about the refund. The facility's Admission Agreement stated that refunds should be issued within 30 days from the date the facility determined that an overpayment occurred, which was not adhered to in these cases. This deficiency was investigated as part of Complaint Number OH00152403.
Failure to Provide Required Annual In-Service Training Hours for STNAs
Penalty
Summary
The facility failed to provide the required 12 annual in-service training hours for two State tested Nursing Assistants (STNAs). Specifically, one STNA, hired on 03/15/17, had only seven in-service training hours since 03/15/23, and another STNA, hired on 05/19/21, had only three in-service training hours since 05/19/23. This deficiency was confirmed during an interview with the Business Office Manager, who verified the insufficient training hours. The facility's policy mandates that each STNA must complete at least 12 hours of in-service training annually, based on their employment date, to maintain employment status. This failure had the potential to affect all 47 residents in the facility, as the census was 47 at the time of the review.
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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 Frankfort
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vineyards At Concord, The | 2.3 mi | ★★★★★ | 33 | 0 |
| Greenfield Skilled Nursing And Rehabilitation | 9 mi | ★★★★★ | 10 | 0 |
| Edgewood Manor Of Greenfield | 9.4 mi | ★★★★★ | 2 | 0 |
| National Church Residences Chillicothe | 12.6 mi | ★★★★★ | 11 | 0 |
| Westmoreland Place | 13 mi | ★★★★★ | 0 | 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.