Valley Vista Nursing And Transitional Care Llc

F 0558

Reasonably accommodate the needs and preferences of each resident.

Level of Harm - Minimal harm or potential for actual harm

Based on observation, interview, and record review, the facility failed to ensure the call light (an alerting device used to contact nursing personnel for assistance) for one of three sampled residents (Resident 1) was accessible and within reach. This failure had the potential to prevent Resident 1 from being able to contact facility staff for help as needed. Findings: During a review of Resident 1's admission Record, dated 8/14/2025, the admission Record indicated Resident 1's diagnoses included lumbar spondylosis (a condition in which the bones and cartilage of the low back are wearing out over time), neuropathy (a condition where nerves in the body are damaged, leading to pain, weakness, and/or difficulty with balance and coordination), and respiratory failure (a condition where the lungs is unable to adequately exchange oxygen and carbon dioxide, leading to dangerously low oxygen levels and/or high carbon dioxide levels in

the blood).During a review of Resident 1's Minimum Data Set (MDS - a resident assessment tool), dated 4/4/2025, the MDS indicated Resident 1 was dependent for eating, toileting, personal hygiene and with dressing (a helper does all of the effort as the resident is unable to complete the activity).During a review of Resident 1's care plan, dated 7/1/2025, the care plan indicated Resident 1 is at risk for falls. The care plan indicated nursing interventions include ensuring the call light is within reach and [to] encourage the resident to use it for assistance as needed.During an observation on 8/13/2025 at 12:16 p.m. of Resident 1 in her room, Certified Nursing Assistant (CNA 1) was observed inside Resident 1's room near her bed. Resident 1 was sleeping.During a concurrent observation and interview on 8/13/2025 at 12:21 p.m. with CNA 1, CNA 1 stated he was inside Resident 1's room maybe 10 minutes ago. When asked where Resident 1's call light was located, CNA 1 initially looked at Resident 1's bed but could not find the call light. CNA 1 then walked toward the head of the bed where CNA 1 found the call light on the floor behind Resident 1's bed frame.

CNA 1 stated it is important to have the call light near the resident for emergencies and in case the resident needs help. During an interview on 8/13/2025 at 12:40 p.m. with Licensed Vocational Nurse (LVN 1), who was the assigned nurse for Resident 1, LVN 1 stated the call light needs to be in reach so if patients need something, they can reach you.During an interview on 8/14/2025 at 3:39 p.m. with Director of Nursing (DON), the DON stated when nursing staff are entering their patient's room to check up on them, the professional standards of practice include the nursing staff checking the position of the patients and if their call light is in reach. The DON stated the consequence of not having the call light within reach is that a resident might fall and cannot contact anybody. The DON stated the call light is important for a resident's overall safety.During a review of the facility's policy and procedure (P&P) titled, Answering the Call Light, revised 9/2022, the P&P indicated the facility must ensure that the call light is accessible to the resident when in bed, from the toilet, from the shower or bathing facility and from the floor.

Residents Affected - Few

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/14/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Valley Vista Nursing and Transitional Care LLC

6120 N. Vineland Ave North Hollywood, CA 91606

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

Federal health inspectors cited VALLEY VISTA NURSING AND TRANSITIONAL CARE LLC in NORTH HOLLYWOOD, CA for a deficiency under regulatory tag F-F0695 during a complaint investigation conducted on 2025-08-14.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of VALLEY VISTA NURSING AND TRANSITIONAL CARE LLC.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-08-15.