Valley Vista For Nursing And Rehabilitation
Valley Vista for Nursing and Rehabilitation in Newton, IA — inspection on August 14, 2025.
Found 6 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
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:
- The Census Line portion of the Electronic Health Record (EHR) of Resident #37 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.
- The Census Line portion of the Electronic Health Record (EHR) of Resident #60 documented the
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.
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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.
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.
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.
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.
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.