Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Arbor Care Center-valhaven, Llc during CMS and state inspections, most recent first.
The facility failed to maintain proper kitchen hygiene practices, as observed with staff not wearing required hair and beard nets and not adhering to hand hygiene protocols. The Dietary Manager and other kitchen staff were seen without appropriate protective gear and did not follow the facility's handwashing policy, potentially risking food contamination.
The facility experienced a delay in the activation of its emergency power system during a power outage, resulting in a two-minute period without power for emergency exit signs, lighting, and medical equipment. Staff had to manually switch residents requiring oxygen to portable tanks. The facility's policy requires immediate notification of the Administrator and Maintenance Director if the generator fails to activate within 10 seconds.
A facility failed to document the use of a wander guard for a resident with severe cognitive impairment in their MDS, despite the resident being observed with the device and care plans indicating its use. This oversight was confirmed by a nurse, highlighting a deficiency in accurate resident assessment.
A resident was admitted to the facility without a required PASARR Level II evaluation, despite having diagnoses that should have triggered it. The facility's policy requires coordination with the PASARR program to ensure appropriate care for residents with mental disorders or intellectual disabilities, but the initial screen failed to include the necessary diagnoses, leading to a deficiency.
Two residents experienced medication administration errors, leading to a facility medication error rate of 6.67%. One resident received Hydrocortisone cream incorrectly applied, while another had enteric-coated Aspirin improperly crushed and administered. These errors were confirmed by the DON.
An Infection Preventionist in an LTC facility failed to change gloves and perform hand hygiene after emptying a resident's urostomy bag, leading to a deficiency in infection control. The IP used the same gloves to offer the resident water, which was refused. Interviews confirmed the need for proper hand hygiene practices.
Deficiencies in Kitchen Hygiene Practices
Penalty
Summary
The facility failed to adhere to proper hand hygiene and personal protective equipment protocols in the kitchen, which could potentially lead to food-borne illnesses affecting all residents. Observations revealed that the Dietary Manager (DM) was seen without a beard net during breakfast and lunch meal preparations. Additionally, Cook-I was observed washing hands inadequately for only 10 and 6 seconds before handling food, contrary to the facility's expectation of a 30-second hand wash. Cook-K was also noted to have returned from a break and handled clean plates without washing hands, which was confirmed as a lapse in protocol by Cook-K. Further observations showed that both the Dietary Aide (DA) and Cook-L entered the kitchen without hair nets during lunch service, and neither performed hand hygiene upon entering. Interviews with the staff confirmed their awareness of the requirement to wash hands and wear hair restraints, as outlined in the facility's policies. The facility's hand hygiene policy, updated in 2021, specifies a minimum of 15 seconds for handwashing, and the dietary employee personal hygiene policy mandates the use of hair restraints to prevent contamination.
Emergency Power System Delay During Outage
Penalty
Summary
The facility failed to ensure that the emergency electrical power system activated within the required 10 seconds during a power outage, affecting all residents. On the day of the incident, a complete power outage occurred at 10:00 AM, and the emergency generator did not become operational until 10:02 AM. During this two-minute interval, there was no electrical power to supply emergency exit signs, lighted means of egress, or any electric-powered medical equipment, such as oxygen concentrators. Nursing staff had to manually switch residents who required oxygen to portable tanks or connect their concentrators to emergency outlets. The facility's Administrator confirmed the power loss and acknowledged that the generator should have activated within 10 seconds. A review of the facility's policy on emergency generator malfunction indicated that the Charge Nurse should contact the Administrator and Maintenance Director if the generator fails to restore power within the specified time. Additionally, the facility's Emergency Generator Monthly Test Log showed that the generator typically activated within 3-5 seconds, indicating a deviation from the norm during the incident.
Inaccurate MDS Documentation for Resident's Personal Alarm
Penalty
Summary
The facility failed to accurately document the use of a personal alarm for a resident in their Minimum Data Set (MDS), a federally mandated comprehensive assessment tool used for care planning. The resident in question, identified as Resident 18, was admitted with multiple diagnoses including dementia, schizoaffective disorder, obsessive-compulsive disorder, vascular dementia, and major depressive disorder with severe psychotic symptoms. Despite these conditions and a documented risk of elopement, the MDS inaccurately indicated that a wander guard was not used, even though the resident was observed wearing one. The deficiency was further highlighted by a review of the resident's care plan and physician's orders, which both confirmed the use of a wander guard as an intervention for elopement risk. An interview with a registered nurse confirmed that the MDS should have been marked to reflect the use of the wander guard, but it was not. This oversight in documentation represents a failure to ensure that the resident's assessment was accurate and complete, as required by regulatory standards.
Failure to Complete PASARR Level II Evaluation for Resident
Penalty
Summary
The facility failed to accurately complete the Preadmission Screening Resident Review (PASARR) for a resident, leading to a deficiency in ensuring appropriate care and services for individuals with mental disorders or intellectual disabilities. The facility's policy mandates coordination with the PASARR program to ensure residents with mental disorders or intellectual disabilities receive care in the most integrated setting. However, during a record review, it was found that the PASARR screen for a resident admitted with diagnoses including anxiety disorder, panic disorder, delusional disorder, and post-traumatic stress disorder did not trigger a Level II evaluation, which should have been completed prior to admission. An interview with a registered nurse confirmed that the initial PASARR screen failed to include the resident's admission diagnoses, which would have necessitated a Level II evaluation. This oversight resulted in the resident being admitted without the required comprehensive evaluation by the state-designated authority. The resident's medical record showed no subsequent PASARR screens since the initial one, indicating a lapse in compliance with the facility's policy and federal requirements.
Medication Administration Errors Exceed Acceptable Rate
Penalty
Summary
The facility staff failed to maintain a medication error rate below 5%, resulting in a rate of 6.67% during the survey. Two medication errors were identified among the nine residents sampled. The first error involved Resident 148, who had an order for Hydrocortisone External Cream 2.5% to be applied topically to hemorrhoids every 8 hours as needed. However, the medication aide incorrectly administered the cream by squeezing it directly onto the rectal area without applying it with gloved fingers, as required by the facility's protocol. This improper application was confirmed as a medication error by the Director of Nursing. The second error involved Resident 31, who had an order for Aspirin EC 81 mg to be taken orally once a day without crushing. During medication administration, the resident began to chew and spit out a Tylenol tablet, prompting the medication aide to crush all of the resident's medications, including the enteric-coated Aspirin, and mix them with applesauce. This action was contrary to the medication order and was confirmed as a medication error by the Director of Nursing. Both errors contributed to the facility's medication error rate exceeding the acceptable threshold.
Infection Control Deficiency Due to Improper Hand Hygiene
Penalty
Summary
The facility staff failed to ensure proper hand hygiene and glove changes during personal care for a resident, leading to a deficiency in infection prevention and control. The incident involved an Infection Preventionist (IP) who entered a resident's room and put on gloves without washing hands. The IP then gathered paper towels and a graduate cylinder, placed them on the resident's bedside tray table, and proceeded to empty the contents of the resident's urostomy bag into the graduate cylinder. After completing this task, the IP removed the gloves and washed hands with soap and water for more than 20 seconds before donning new gloves, an isolation gown, and a face shield. However, the IP failed to change gloves and perform hand hygiene after emptying the urostomy bag and before offering the resident a drink of water. The IP used the same gloves to handle the water pitcher and straw, attempting to give the resident water multiple times, which the resident refused. Interviews with the IP and the Director of Nursing confirmed that the IP should have changed gloves and performed hand hygiene after handling the urostomy bag contents.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 222 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Valley
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Elkhorn | 6.4 mi | — | 23 | 0 |
| Brookestone Meadows Rehabilitation And Care Center | 7.2 mi | — | 0 | 0 |
| The Lighthouse At Lakeside Village | 9.7 mi | — | 0 | 0 |
| Nye Pointe Health & Rehab Ctr | 12 mi | — | 0 | 0 |
| Newport House | 12.2 mi | — | 8 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Arbor Care Center-valhaven, Llc.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.