Valley Vista For Nursing And Rehabilitation
Inspection Findings
F-Tag F0637
F 0637
Assess the resident when there is a significant change in condition
Level of Harm - Minimal harm or potential for actual harm
Based on clinical record review, staff interview, guidance from the 2024 Resident Assessment Instrument (RAI) Manual, and facility policy review, the facility failed to complete and transmit Comprehensive Minimum Data Set (MDS) Assessments following a significant change within federal guidelines for 2 of 2 residents (#37 & #60) reviewed for Hospice Admission. The facility reported a census of 54 residents. Findings include:
Residents Affected - Few
- 1. The Census Line portion of the Electronic Health Record (EHR) of Resident #37 documented the
- 2. The Census Line portion of the Electronic Health Record (EHR) of Resident #60 documented the
resident enrolled in hospice care on 1/27/25. The Significant Change MDS of Resident #37 documented an Assessment Reference Date (ARD) of 2/2/25. Page 58 of the MDS documented the MDS was signed as Assessment Completion on 2/15/25, 20 days following hospice admission.
resident enrolled in hospice care on 6/20/25. The MDS screen of Resident #60 failed to reveal any significant change MDS assessment was completed on Resident #60.
On 8/14/25 at 11:20 am, the MDS Coordinator reviewed the MDS screen and verified no significant change MDS had been done for this hospice enrollment.
According to the 2024 RAI, a Significant Change (comprehensive) assessment, the ARD must be no later than the 14th calendar day after determination that a significant change in the resident's status occurred.
The RAI stated a Significant Change MDS is required to be performed when a terminally ill resident enrolls
in a hospice program.
The facility policy titled Change in a Resident’s Condition or Status, revision date February 2021, documented the following: Point 9: If a significant change in the resident’s physical or mental condition occurs, a comprehensive assessment of the resident’s condition will be conducted as required by current OBRA regulations governing resident assessments and as outlined in the MDS RAI Instruction Manual.
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:
F-Tag F0641
Federal health inspectors cited Valley Vista for Nursing and Rehabilitation in Newton, IA for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-14.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
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 6 deficiencies cited during this inspection of Valley Vista for Nursing and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0657
Federal health inspectors cited Valley Vista for Nursing and Rehabilitation in Newton, IA for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-14.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level E: pattern, 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 6 deficiencies cited during this inspection of Valley Vista for Nursing and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0698
Federal health inspectors cited Valley Vista for Nursing and Rehabilitation in Newton, IA for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2025-08-14.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.
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 6 deficiencies cited during this inspection of Valley Vista for Nursing and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0842
Federal health inspectors cited Valley Vista for Nursing and Rehabilitation in Newton, IA for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-08-14.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 6 deficiencies cited during this inspection of Valley Vista for Nursing and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
F-Tag F0880
Federal health inspectors cited Valley Vista for Nursing and Rehabilitation in Newton, IA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-14.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
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 6 deficiencies cited during this inspection of Valley Vista for Nursing and Rehabilitation.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-08-29.
Valley Vista for Nursing and Rehabilitation in Newton, IA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Newton, IA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Valley Vista for Nursing and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.