Valley Vista Nursing: Call Light Left on Floor - CA
That is what an inspector found at Valley Vista Nursing and Transitional Care LLC on August 13, 2025. The resident, identified in the inspection report only as Resident 1, was asleep in her room when the inspector arrived. Her diagnoses included lumbar spondylosis, neuropathy, and respiratory failure. According to her own care plan, she was at fall risk, and nursing staff were supposed to make sure the call light stayed within reach and that she knew to use it if she needed help.
Nobody had.
A certified nursing assistant, referred to in the report as CNA 1, was inside the resident's room when the inspector arrived at 12:16 p.m. Five minutes later, the inspector asked him where the call light was. CNA 1 looked at the bed first. He couldn't find it. He walked to the head of the bed and found it on the floor, behind the frame, out of sight and out of reach.
CNA 1 told the inspector he understood why that mattered. "It is important to have the call light near the resident for emergencies and in case the resident needs help," he said. He had been in the room, by his own account, roughly ten minutes before the inspector arrived.
The assigned nurse for Resident 1, a licensed vocational nurse identified as LVN 1, told the inspector the same thing when interviewed twenty minutes later. "The call light needs to be in reach so if patients need something, they can reach you."
The Director of Nursing went further. When interviewed the following afternoon, she described checking call light placement as part of professional standards every time staff enter a patient's room. "The consequence of not having the call light within reach," she said, "is that a resident might fall and cannot contact anybody." She called the call light "important for a resident's overall safety."
The facility's own written policy, last revised in September 2022, states that the call light must be accessible to the resident when in bed, from the toilet, from the shower or bathing facility, and from the floor.
The gap between what the policy required, what the nursing director described as standard practice, and what the inspector actually found is the entirety of this violation. Everyone at Valley Vista who was asked about call lights gave the correct answer. The call light was still on the floor.
Resident 1's assessment from April 2025 documented that she was fully dependent for eating, toileting, personal hygiene, and dressing. A helper, the assessment noted, does all of the effort, because the resident is unable to complete the activity herself. She also has respiratory failure, a condition in which the lungs cannot adequately exchange oxygen and carbon dioxide, creating the risk of dangerously low oxygen levels. Neuropathy has left her dealing with nerve damage that can cause pain, weakness, and difficulty with balance.
For a resident with that combination of conditions, the call light is not a convenience. It is the one tool she has to tell someone she is in distress.
The inspection was a complaint survey, meaning someone had raised a concern about care at the facility before inspectors arrived. CMS rated the violation at the lowest level of harm, finding minimal harm or potential for actual harm rather than documented injury. No immediate jeopardy was cited.
What the report does not say is how long the call light had been on the floor before the inspector found it, or whether Resident 1 had ever woken up and reached for it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Valley Vista Nursing and Transitional Care LLC from 2025-08-14 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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: September 22, 2026 · Our methodology
VALLEY VISTA NURSING AND TRANSITIONAL CARE LLC in NORTH HOLLYWOOD, CA was cited for violations during a health inspection on August 14, 2025.
That is what an inspector found at Valley Vista Nursing and Transitional Care LLC on August 13, 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.