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 View Health Campus during CMS and state inspections, most recent first.
A resident with multiple medical conditions developed new wounds that were identified by staff, but the physician and family were not promptly notified as required. Dressings were applied without a physician's order, and appropriate wound care orders were delayed. Facility policy required timely notification of changes in condition, but this was not followed.
Two residents with significant risk factors for skin breakdown were not accurately or promptly assessed and treated for pressure ulcers. Staff failed to provide comprehensive wound assessments, applied dressings without physician orders, and did not consistently document or communicate changes in condition. Facility policies requiring full wound documentation and timely notification were not followed, and there were gaps in staff knowledge regarding wound identification and care.
An LPN failed to follow infection control protocols during incontinence and wound care for a resident with multiple medical conditions, including a pressure ulcer. The LPN did not secure her gown, allowed her clothing to touch the resident, placed soiled items on the bed, and handled a soiled brief with an ungloved hand, all contrary to facility policy and CDC guidelines.
A multi-use vial of Tuberculin, Purified Protein Derivative diluted/Aplisol, was found open and undated in the medication storage room, despite facility policy and pharmacy guidelines requiring dating upon first access. The DON confirmed the vial should have been dated, and this lapse had the potential to affect all residents in the facility.
A review of antibiotic use revealed that multiple residents were prescribed antibiotics for UTIs without meeting McGeer's criteria, as required by the facility's antibiotic stewardship policy. The infection preventionist confirmed that antibiotics were initiated without sufficient clinical or laboratory evidence, contrary to established protocols.
A resident with dementia, anxiety, depression, and bipolar disorder, who was prescribed sertraline and trazodone, was admitted without these diagnoses or medications being documented on the PASRR assessment. The Director of Sales confirmed the PASRR was incomplete and indicated a need for more education on proper completion.
A resident with a history of major depressive disorder, COPD, and anemia developed a widespread rash and was prescribed triamcinolone acetonide cream by a nurse practitioner. The order was not transcribed into the EMR, resulting in no treatment being administered for the rash. The resident reported ongoing discomfort and itching, and staff confirmed that the prescribed treatment was neither documented nor provided.
Surveyors found that a resident's indwelling urinary catheter collection bag was folded in a way that impeded urine flow, as confirmed by a CNA. Another resident with a history of recurrent UTIs did not have required follow-up appointments with urology scheduled after a previous visit and ultrasound, with the DON confirming the lack of follow-up.
Failure to Timely Notify Physician and Family of New Wounds
Penalty
Summary
The facility failed to timely notify the physician and the responsible party regarding the development of new wounds in a resident. The resident, who had multiple medical diagnoses including aphasia, anemia, weakness, constipation, an unstageable sacral pressure ulcer, and vitamin D deficiency, was admitted with no identified skin impairments to the buttocks or coccyx. However, documentation later revealed the presence of an open area on the buttock and two new wounds, with specific measurements noted by nursing staff. Despite these findings, there was no documentation that the physician or family were notified of the new wounds at the time they were discovered. Additionally, nursing staff applied dressings to the wounds without a physician's order, and an official wound care order was not obtained until several days after the wounds were first identified. Staff interviews confirmed that neither the physician nor the family had been notified promptly, and that wound care orders were not in place until after the delay. Facility policy required physician notification when there is a need to alter a resident's treatment, such as a deterioration in health, but this protocol was not followed in this instance.
Failure to Accurately Identify and Treat Pressure Ulcers
Penalty
Summary
The facility failed to accurately and timely identify and provide treatment for pressure ulcers, affecting two residents out of three reviewed for wound care. For one resident with multiple medical diagnoses including aphasia, anemia, and an unstageable sacral pressure ulcer, the admission skin assessment did not identify any skin impairments. However, within weeks, staff documented new open areas and wounds on the buttocks, but failed to provide a comprehensive wound assessment, including details such as wound depth, bed, drainage, odor, and surrounding skin condition. Dressings were applied without physician orders, and there was a delay in obtaining appropriate treatment orders. The care plan was not updated promptly to reflect the new wounds, and facility policy requiring full wound assessment and timely physician notification was not followed. Another resident, admitted with a history of stage two pressure ulcers and multiple comorbidities, was documented by hospital records as having red, open areas on the buttocks. The facility's admission assessment described these as lacerations/abrasions, without adequate description of the wound bed or surrounding skin, and failed to document the presence of moisture associated skin damage (MASD). Throughout the resident's stay, wound assessments lacked detail, and there was inconsistency in wound identification, with staff and providers disagreeing on whether the wounds were MASD or stage two pressure ulcers. Dressings were applied without physician orders, and wound documentation did not consistently include required elements such as depth and wound bed description. Photographs of the wounds were not taken by the facility, and event reporting was incomplete. Interviews with nursing staff, the wound nurse, DON, and physician revealed gaps in knowledge regarding wound identification and assessment, as well as inconsistent documentation and communication. Facility policies required comprehensive wound documentation, timely notification of changes in condition, and appropriate use of wound care products, but these were not consistently followed. The deficiencies were identified through observation, record review, and staff interviews, and affected residents with significant risk factors for skin breakdown.
Failure to Follow Infection Control Protocols During Incontinence and Wound Care
Penalty
Summary
A deficiency was identified when a licensed practical nurse (LPN) failed to adhere to proper infection prevention and control protocols during incontinence care and a wound dressing change for a resident with multiple medical conditions, including aphasia, anemia, and an unstageable pressure ulcer. The LPN did not secure her gown, resulting in her shirt and the untied gown coming into contact with the resident. During the care process, the LPN placed a soiled incontinence brief directly on the resident's bed and later handled the soiled brief with an ungloved hand before covering the resident with the same blanket. The LPN also placed soiled wound dressing and the soiled brief directly on the bedding. These actions were observed during care for a resident who was always incontinent, dependent for toileting, and had a history of skin breakdown. The facility's policies and CDC guidelines require that gowns be properly secured and that personal protective equipment be used appropriately to prevent exposure to body fluids. The LPN's failure to follow these protocols was confirmed through observation and staff interview, and was inconsistent with both facility policy and CDC recommendations for infection control.
Failure to Date Multi-Use Medication Vial Upon Opening
Penalty
Summary
Surveyors observed that a multi-use vial of Tuberculin, Purified Protein Derivative diluted/Aplisol, was found open and undated in the medication storage room, with approximately three-quarters of the vial remaining. The vial had been dispensed from the pharmacy several weeks prior and had an imprinted expiration date, but there was no indication of when it was first accessed. The Director of Nursing confirmed during the observation that the vial was open and undated, and acknowledged that it should have been dated upon opening. Review of facility policy and pharmacy documentation confirmed that multi-use vials are required to be dated when first accessed and that this specific medication should be discarded 30 days after opening. This failure to properly date the multi-use vial had the potential to affect all 56 residents in the facility.
Failure to Ensure Residents Met Criteria Before Initiating Antibiotics
Penalty
Summary
The facility failed to ensure that residents met established clinical criteria prior to the initiation of antibiotics, as required by their antibiotic stewardship policy. A review of the Infection Tracking - ATB (antibiotic) Log and interviews with staff revealed that antibiotics were prescribed to 13 out of 17 residents reviewed for antibiotic stewardship, despite these residents not meeting McGeer's criteria for appropriate antibiotic use. The antibiotics were ordered for urinary tract infections (UTIs) across multiple residents, with specific medications including Ertapenem, Bactrim DS, Amoxicillin, Cefadroxil, Levofloxacin, Cephalexin, and Ciprofloxacin being prescribed without sufficient clinical or laboratory evidence as outlined by McGeer's criteria. The infection preventionist confirmed that the facility utilized McGeer's criteria as part of their antibiotic surveillance program and verified that the residents in question did not meet the necessary criteria before antibiotics were initiated. The facility's policy, dated 12/16/24, states that the purpose of the antibiotic stewardship program is to optimize infection treatment and reduce unnecessary or inappropriate antibiotic use, but this policy was not followed in these cases.
Incomplete PASRR Assessment for Mental Health Diagnoses and Medications
Penalty
Summary
The facility failed to ensure that the Preadmission Screening and Resident Review (PASRR) was accurately completed for a resident with multiple mental health diagnoses. Medical record review showed that the resident was admitted with diagnoses including unspecified dementia, generalized anxiety disorder, depression, and bipolar disorder, and was prescribed psychotropic medications such as sertraline and trazodone. However, the PASRR assessment did not identify any of these diagnoses or the use of psychotropic medications. During an interview, the Director of Sales confirmed that the PASRR was incomplete and acknowledged a need for further education on proper completion of PASRRs.
Failure to Transcribe and Administer Physician-Ordered Rash Treatment
Penalty
Summary
A deficiency occurred when a physician's order for triamcinolone acetonide 0.1% cream, prescribed by a nurse practitioner for a resident with an all-over body rash/contact dermatitis, was not transcribed into the electronic medical record (EMR). The resident, who had diagnoses including major depressive disorder, COPD, and anemia, was cognitively intact and reported ongoing discomfort and itching from the rash. Despite the order being documented in the nurse practitioner's progress note, it was not entered into the current physician orders, resulting in the treatment not being administered. Observations confirmed the presence of a scattered, red rash on the resident's upper and lower extremities and back. The resident reported that staff applied lotion only to her legs and not to other affected areas, and that no treatment had been applied to the rash. Interviews with an LPN and the DON verified that the order for the cream was not transcribed and no treatments were documented or administered for the rash, contrary to facility policy requiring maintenance of physician orders and progress notes.
Deficient Catheter Maintenance and Missed Urology Follow-Up
Penalty
Summary
The facility failed to ensure proper maintenance of urinary catheters to prevent the impediment of urinary flow for a resident with an indwelling catheter. Observation revealed that the resident's catheter collection bag was folded over below the drainage tube, which impeded the flow of urine from the bladder into the collection bag. This was confirmed by a CNA during the survey. The resident had a history of hemiplegia, cerebrovascular disease, neuromuscular bladder dysfunction, BPH, and urinary retention, and was dependent for toileting. Additionally, the facility did not ensure that follow-up appointments with urology were scheduled for a resident with a history of recurrent UTIs. The resident had previously been seen by urology and had a retroperitoneal ultrasound completed, but there was no evidence of any follow-up appointments after the last documented visit. The resident reported frequent UTIs and reliance on medication to prevent them, and the DON confirmed that no follow-up appointments had been scheduled as required.
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Illustrative
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.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Fremont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Countryside Manor Nursing And Rehabilitation Llc | 0.4 mi | ★★★★★ | 14 | 1 |
| Elmwood Assisted Living & Skilled Nursing Of Fremo | 1.4 mi | — | 0 | 0 |
| Parkview Care Center | 2.2 mi | ★★★★★ | 13 | 0 |
| Bethesda Care Center | 2.8 mi | ★★★★★ | 17 | 0 |
| Spring Creek Nursing And Rehabilitation Center Llc | 7.3 mi | ★★★★★ | 10 | 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.