Valley View Home

F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

12/28/25, which included attempt to assess me (resident #1) for pain when I am experiencing agitated behaviors, attempt to offer different staff members, during my menstruation I am known to have worsening behaviors, if I am observed to be agitated, attempt to provide me with aroma therapy, and offer me a warm towel to help soothe me if I am observed to be agitated.The resident's care plan failed to show attempts to identify new contributing factors and interventions implemented in an attempt to prevent behaviors, to protect her due to her behaviors, or what level of monitoring and oversight the resident needed to remain safe. Review of the Behavior Review document, dated 7/1/25 - 1/9/26, showed the following medication changes:Scheduled daily:7/15/25; Abilify, an antipsychotic, 15 mg two times daily6/5/25 - 7/15/25; Abilify 10 mg two times daily9/17/24; fluoxetine, an antidepressant, 20 mg every morning6/4/25 - 11/7/25; Seroquel,

an antipsychotic, 50 mg two times daily12/9/25 - 12/30/25; Seroquel 100 mg three times daily12/30/25 1/2/26; Seroquel 200 mg three times daily1/2/26 - 1/4/26; Seroquel 200 mg three times daily1/4/26 - 1/6/26; Seroquel 200 mg three times dail7/3/25 - 7/9/25; Haloperidol, an antipsychotic, 5 mg every nightResident #1's Seroquel was changed multiple times with little to no effect, as evidenced by her behavior documentation.Resident #1 had Seroquel (antipsychotic), Haloperidol (antipsychotic) and Ativan (antianxiety), as needed.Resident #1 was transferred to the hospital on 1/6/26 and did not return to the facility as of the survey.

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If continuation sheet

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

01/29/2026

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Valley View Home

1225 Perry LN Glasgow, MT 59230

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)

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Based on interview and record review, the facility failed to ensure an incident was reported within 24 hours of the date of the incident for 1 (#8) of 10 sampled residents. Findings include:During an interview on 1/29/26 at 9:48 a.m., staff members B and C stated the time frame for reporting incidents was 24 hours.

Staff member B stated that as soon as we hear about a reportable, we start the investigation. Staff member B stated that the staff abuse training is done yearly. Staff member B stated there are in-services on abuse and reporting timelines throughout the year.During an interview on 1/29/26 at 10:00 a.m., staff member A stated the administrator, DON, and Social Services are responsible for obtaining statements from staff and residents. Staff member A stated the time frames for reporting to the State Survey Agency were two hours for serious bodily injury, or 24 hours if there is no serious bodily injury. Staff member A stated the findings are to be reported to the State Survey Agency within five days. Review of an incident of abuse submitted to

the State Survey Agency, on 8/18/25, was more than 24 hours after the date of the incident. The date of the incident was on 8/16/25. The incident involved a resident-to-resident altercation between residents #8 and #10.Review of the facility policy, titled Mandatory Reporting for Montana Nursing Facilities, showed:7 .Resident to Resident Abuse was not to exceed 24 hours from the discovery of the incident .There is a 2-hour reporting requirement for crimes resulting in serious bodily injury .Investigation results must be sent to the state agency within 5 working days of the receipt of the report of abuse .

Event ID:

Facility ID:

If continuation sheet

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

01/29/2026

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Valley View Home

1225 Perry LN Glasgow, MT 59230

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)

F 0727 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

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

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on

a full time basis.

Based on interview and record review, the facility failed to designate a full time DON. Findings include:During an interview on 1/29/26 at 9:48 a.m., staff members B and C stated the facility was without a DON for a little over a month. Staff member C stated the DON tasks were divided between the IDT.Review of an email from staff member A showed an advertisement for the DON position with a posting date of 9/8/25. The email goes on to show the IDT took over the DON tasks.During an interview on 1/29/26 at 10:00 a.m., staff member A stated the new DON started on 10/16/25.Review of an email sent by staff member A, dated 9/8/25 at 2:34 a.m., showed the previous DON no longer worked at the facility. There was no documentation available to show the prior DON's duties were specifically reassigned to an RN (or multiple RNs), until a new DON was recruited. Review of an email sent by staff member A, dated 10/16/25 at 3:26 p.m., showed staff member B started as DON on 10/16/25. The facility was without a DON for 37 days.

Event ID:

Facility ID:

If continuation sheet