Average — CMS composite of the measures below.
The next survey window likely opens around April 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 Falls Terrace during CMS and state inspections, most recent first.
The facility failed to post daily staffing information for two days within a four-month period. The CNA Staffing Coordinator admitted to completing the weekend staffing sheets on Mondays, confirming that the staffing information for the mentioned dates was not posted. The Administrator acknowledged that the staffing sheets should be filled out on Fridays for the weekend staff to post or be completed and posted each day of the weekend.
The facility failed to remove expired medications and biologicals from its storage rooms, treatment carts, and medication carts. Expired items were found during observations, and although staff verified and removed them upon discovery, the initial failure to follow policies led to the deficiency.
The facility failed to ensure proper food storage and cleanliness in the kitchen, with multiple items found unlabeled, improperly sealed, and expired. The kitchen and nourishment rooms also had significant cleanliness issues, including moldy lemons, dirty equipment, and debris buildup. Interviews revealed that staff did not consistently follow procedures for labeling, dating, and cleaning.
The facility failed to provide quarterly statements to the Responsible Party (RP) for a resident's personal funds. The resident and his RP were unaware of the funds available in the account, and the RP had been using her own money to purchase toiletries. The Business Office Manager confirmed that the statements should have been provided but were not.
The facility failed to accurately code the MDS for a resident admitted with diagnoses including schizophrenia. The MDS did not include the schizophrenia diagnosis, which should have been coded. The MDS RN confirmed this omission during an interview.
The facility had a 12% medication administration error rate due to an LPN not priming an insulin pen correctly, not wearing gloves while splitting an acetaminophen tablet, and failing to ensure a resident took famotidine with food as required.
A facility failed to ensure proper cleaning of a resident's glucometer and did not follow procedures for handling medication. An LPN did not clean the glucometer before or after use and did not wear gloves while breaking a tablet, contrary to facility policies.
Failure to Post Daily Staffing Information
Penalty
Summary
The facility failed to post daily staffing information for two days within a four-month period, as required by their policy. Specifically, on 03/16/24 and 03/17/24, there was no documentation of hours for RNs, LPNs, or CNAs for all three shifts. The CNA Staffing Coordinator admitted to completing the weekend staffing sheets on Mondays, confirming that the staffing information for the mentioned dates was not posted. The Administrator acknowledged that the staffing sheets should be filled out on Fridays for the weekend staff to post or be completed and posted each day of the weekend.
Expired Medications and Biologicals Not Removed
Penalty
Summary
The facility failed to remove expired medications and biologicals from its medication storage rooms, treatment carts, and medication carts. During an observation of the medication storage room on B Hall, a registered nurse identified expired hypodermic needles, a tracheostomy tube, and a gastrostomy feeding tube. Similarly, the Director of Nursing found expired stimulant laxative suppositories and a vacutainer in another medication storage room. Additionally, an expired medication card for Cyclobenzaprine was found on Medication Cart 1 on B Hall. The facility's policies on medication storage and management were reviewed, revealing that expired medications should be immediately removed and disposed of according to procedures. However, the observations indicated that these policies were not followed, as expired items were still present in various storage areas. The registered nurse and the Director of Nursing verified the expired items and removed them upon discovery, but the initial failure to adhere to the policies led to the deficiency.
Improper Food Storage and Cleanliness in Kitchen
Penalty
Summary
The facility failed to ensure that foods stored in the freezer, refrigerators, and dry food storage areas were properly sealed, labeled, dated with a use-by date, and discarded after the manufacturer's expiration date. During an initial tour of the kitchen, several items were found without open dates, labels, or proper seals, including sliced jalapeno peppers, lemons with mold, tomatoes, chocolate chip cookies, and various other food items. Additionally, the walk-in freezer contained items like beef patties, blueberries, doughnut dough, and hash brown patties that were not properly labeled or sealed. The dry food storage room also had improperly stored items, including a dirty mop head on a container of brown rice and various open and unlabeled food packages. The kitchen prep area and nourishment rooms were also found to have unlabeled and improperly stored food items, along with cleanliness issues such as dried food particles in the microwave and black spots in the ice maker. The ceiling vents and kitchen window were observed to have significant debris and dust buildup. Interviews with the Dietary Manager and Kitchen Manager revealed that there were expectations for staff to label and date food items, clean the ice machine daily, and maintain cleanliness in the kitchen, but these practices were not consistently followed. The Administrator confirmed that the Kitchen Manager was responsible for monitoring food storage and that it was expected for all food to be properly labeled and stored, and for the kitchen to be cleaned according to the schedule. However, the observed deficiencies indicated a failure to adhere to these expectations, potentially putting residents at risk for foodborne illnesses.
Failure to Provide Quarterly Statements for Resident Trust Fund
Penalty
Summary
The facility failed to provide quarterly statements to the Responsible Party (RP) for a resident reviewed for personal funds. The facility's policy requires the Business Office Manager to distribute quarterly Resident Trust fund statements to each resident's legal representative by the 25th of the month following the end of the quarter. However, during an interview, the resident and his RP indicated they had not received any statements or notifications about the money in the resident's account. The Business Office Manager confirmed that the resident and his RP should have received the statements but did not. The resident's RP was unaware of the funds available in the account and had been using her own money to purchase toiletries for the resident. The resident was admitted with diagnoses including intellectual disabilities, dysphagia, and acute cystitis with hematuria.
Failure to Accurately Code MDS for Resident
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) for one resident, identified as R49. R49 was admitted with diagnoses including acute respiratory failure with hypoxia, schizophrenia, and gastro-esophageal reflux disease without esophagitis. The MDS with an Assessment Reference Date of 03/27/24 indicated that R49 was cognitively intact with a BIMS score of 13 out of 15. However, the MDS did not include the diagnosis of schizophrenia under Section I, which should have been coded as per the guidelines. During an interview on 05/09/24, the MDS Registered Nurse confirmed that the diagnosis of schizophrenia should have been included in the MDS.
Medication Administration Errors
Penalty
Summary
The facility failed to ensure a medication administration error rate of less than 5 percent, resulting in a 12 percent error rate. Specifically, an LPN did not prime an insulin pen before administering insulin to a resident, leading to an incorrect dose. The LPN admitted to not being instructed on how to prime the pen and incorrectly believed that dialing up the dose was sufficient. Additionally, the LPN did not wear gloves while splitting an acetaminophen tablet and was unaware of the pill cutter available in the medication cart. The facility's policy clearly states that gloves should be worn when splitting tablets and that unscored or coated tablets should not be split, which the LPN failed to follow. Furthermore, the LPN did not follow the instructions for administering famotidine to another resident, which required the medication to be taken with food. The LPN incorrectly assumed the resident had eaten based on a previous activity and did not verify this information. The resident later confirmed that she had not eaten recently and had requested food for the next meal. These actions and inactions by the LPN led to a significant medication administration error rate, violating the facility's policies and procedures for medication management.
Infection Control and Medication Handling Deficiencies
Penalty
Summary
The facility failed to ensure proper cleaning and sanitization of a resident's glucometer and did not follow proper procedures for handling medication. During an observation, an LPN did not clean or sanitize a resident's personal glucometer before or after use. The LPN stated that she did not think it was necessary to clean the glucometer since it was used for only one resident. This action was contrary to the facility's policy, which requires that glucometers be cleaned between each use according to manufacturer guidelines and infection prevention principles. Additionally, the same LPN was observed not wearing gloves while breaking an acetaminophen tablet in half. The LPN stated that she did not think gloves were needed since she had just sanitized her hands. Furthermore, she was unaware that a pill cutter was available in the top drawer of the medication cart and admitted to never having used it. This action was also against the facility's policy, which mandates that gloves be worn when splitting tablets and that only scored tablets should be split. The facility's policies and procedures clearly outline the steps for proper medication management and infection control, including the cleaning and disinfection of glucometers and the use of gloves when handling medications. The failure to adhere to these policies resulted in deficiencies in infection control and medication administration, as observed and documented by the surveyors.
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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.
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Nursing homes near Spartanburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Physical Rehabilitation And Wellness Center Of Spa | 1.8 mi | ★★★★★ | 7 | 2 |
| Rosecrest Rehabilitation And Healthcare Center | 3.6 mi | ★★★★★ | 0 | 0 |
| Spartanburg Hospital For Restorative Care Snf | 3.6 mi | ★★★★★ | 1 | 0 |
| Magnolia Manor - Spartanburg | 3.6 mi | ★★★★★ | 0 | 0 |
| White Oak Manor - Spartanburg | 3.7 mi | ★★★★★ | 4 | 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.