Valley View Manor: Skin Care Failures Cited - MN
The complaint inspection, completed November 19, 2025, resulted in a deficiency under the federal tag governing the quality of care residents receive. Inspectors rated the harm level as minimal or potential for actual harm, and noted that few residents were affected.
What the record shows is a gap between what Valley View Manor's own written policy promised and what residents actually received. The facility's skin care policy, submitted as part of its plan of correction, described a layered system: residents would be assessed for skin breakdown risk, those with identified problems would be referred to a nurse practitioner, wound consultant, or physician, and care plans would spell out specific instructions including barrier creams, repositioning schedules, pressure-reducing mattresses, wedges, and cushions. Skin would be assessed weekly. Treatments would follow a doctor's order. New or poorly managed problems would go back to a health professional.
That system did not work as written.
The deficiency was triggered by a complaint, meaning someone, a resident, a family member, or a staff member, contacted authorities before inspectors arrived. The inspection report does not identify which resident or residents were affected, or describe in detail what inspectors observed when they walked the halls. What it does confirm is that inspectors found the care provided fell short of what the facility's own standards required, and that the failure carried real potential for harm.
Skin breakdown in nursing home residents is not a minor inconvenience. Residents who spend extended time in bed or in wheelchairs, who have limited mobility, poor circulation, or incontinence, are vulnerable to pressure injuries that can progress rapidly. A wound that begins as redness can become an open sore within days if repositioning and moisture management are not consistently applied. At the most severe stages, pressure injuries expose muscle and bone and can become life-threatening.
Valley View Manor's plan of correction, filed in response to the cited deficiency, restated the facility's skin care protocols in detail. Staff are to receive education on skin care and wound management upon hire, and again whenever a knowledge gap or incident is identified. The plan describes the full range of interventions the facility is supposed to provide: emollient creams, repositioning schedules, pressure-reducing equipment, and referrals to outside wound specialists when in-house management is not working.
The plan does not explain why those steps were not taken before inspectors arrived.
The facility is located at 200 East Ninth Avenue in Lamberton, a small town in southwestern Minnesota with fewer than 1,000 residents. For many people in communities like Lamberton, the local nursing home is the only option within reasonable distance. Families who place a relative there are largely trusting that the protocols posted in binders and recited during admissions meetings are actually being followed, day to day, by the aides and nurses rotating through the building.
The November inspection suggests that trust had a gap in it, at least for the few residents affected. The deficiency does not carry the weight of an immediate jeopardy citation, which would signal that inspectors believed residents faced a risk of serious injury or death requiring urgent correction. But the absence of that higher designation does not mean the residents involved faced no risk. It means inspectors judged the risk, at the time they visited, as something less than imminent.
For a resident who developed a skin problem that went unassessed, unreferred, or untreated while the facility's policy sat on paper describing exactly what should have happened, the distinction between minimal harm and actual harm may not have felt like much of a distinction at all.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Valley View Manor Hcc from 2025-11-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 29, 2026 · Our methodology
VALLEY VIEW MANOR HCC in LAMBERTON, MN was cited for violations during a health inspection on November 19, 2025.
The complaint inspection, completed November 19, 2025, resulted in a deficiency under the federal tag governing the quality of care residents receive.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.