Valley View Skilled Nursing: Air Mattress Order Gap - WA
That is what inspectors found at Valley View Skilled Nursing and Rehabilitation following a complaint investigation completed December 23, 2025. The violation centered on a single resident, identified in inspection records only as Resident 1, and a gap in physician orders that left nursing staff without formal direction to monitor a device the facility's own administrator described as important for wound healing.
The air mattress was put in place on November 17, 2025, according to a safety device assessment in the resident's records. Monitoring orders were not written until November 26, nine days later, and only after an incident had already occurred on November 25.
What happened on November 25 is not detailed in the inspection report. The report does not describe what went wrong with the mattress, what condition Resident 1 was in, or what the incident involved. What it does document is the sequence: device placed, no order written, incident occurs, order written the next day.
In a joint interview on the afternoon of the inspection, the facility's administrator, identified as Staff A, and its Director of Nursing, identified as Staff B, sat down with inspectors and reviewed Resident 1's medical records together. Staff A confirmed that air mattresses are used at the facility for wound healing purposes. Staff B said nursing staff are responsible for checking air mattresses every shift to confirm proper function and proper pressure settings.
Then Staff B looked at the records and said they could not determine when the mattress had last been checked, because no monitoring order existed before the incident.
Staff B told inspectors the order should have been written on November 17, the same day the mattress was placed.
It was not.
A review of the November 2025 Treatment Administration Record confirmed the gap. There was no physician order directing staff to monitor the air mattress for proper function or settings at any point before November 26. The record is the document nursing staff rely on to know what they are supposed to do, shift by shift, for each resident. Without an entry, there is no prompt, no checkbox, no way to verify after the fact that anyone looked.
Air mattresses used for wound prevention and healing work by alternating pressure across a patient's body, reducing the sustained compression on any one area that causes pressure injuries to develop or worsen. If the device loses pressure, malfunctions, or is set incorrectly, it can stop providing therapeutic benefit without any visible sign to a passerby. Someone has to check it. At Valley View, the question of who was checking it, and whether anyone was, has no documented answer for those eight days.
The inspection was a complaint investigation, meaning someone, whether a resident, a family member, or a staff member, reported a concern that prompted state surveyors to come. The complaint that triggered the visit is not identified in the publicly available report.
Inspectors cited the violation under Washington state administrative code governing nursing facility care standards. The level of harm was recorded as minimal harm or potential for actual harm, the lower end of the federal harm scale, and the number of residents affected was listed as few.
Those classifications reflect the regulatory finding. They do not describe what Resident 1's wound looked like on November 25, or what the eight days without documented oversight meant for the healing process that Staff A said the mattress was there to support.
Staff B said the order should have been initiated on November 17. It was not initiated until after something happened that required reporting.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Valley View Skilled Nursing and Rehabilitation from 2025-12-23 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 20, 2026 · Our methodology
VALLEY VIEW SKILLED NURSING AND REHABILITATION in RENTON, WA was cited for violations during a health inspection on December 23, 2025.
That is what inspectors found at Valley View Skilled Nursing and Rehabilitation following a complaint investigation completed December 23, 2025.
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.