Health inspection·March 20, 2025

F 0585 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Based on observation, interview, and record review, the facility failed to implement their policy and procedure on grievances for one of three sampled residents (Resident 1). This failure had the potential for the grievances to not be addressed and result in negative consequences. Findings: During a review of Resident 1's admission RECORD (AR), dated 3/21/25, the AR indicated, Resident 1 had a diagnosis of epilepsy (a brain disorder that causes repeated seizures [brief periods of abnormal brain activity], often manifesting as unusual behaviors, sensations, or loss of awareness. Bright light in some individuals can trigger an episode), and capsular glaucoma (a condition in which the eye's ability to transmit images to the brain is damaged and bright light can negatively affect some individuals). During a review of Resident 1's Minimum Data Set (MDS- an assessment tool) under the section Brief Interview for Mental Status (BIMS- an assessment of cognition [how well a person thinks, remembers, and learns]), dated 3/20/25, the BIMS indicated, Resident 1 had a score of 15 (cognition [how well a person thinks, remembers, and learns] function) intact. During an interview on 3/20/25 at 1:24 p.m. with Resident 1, Resident 1 stated around 2/14/25 the facility placed a new sliding glass door that accessed the patio area into her room. Resident 1 stated the previous glass door had tint (the application of a thin film to glass which offers benefits like privacy, sunlight protection, reduced glare, and heat reduction) and the new sliding glass door did not have tint. Resident 1 stated the sunlight entering her room from the new sliding glass door bothered her eyes from the increased amount of light entering her room. Resident 1 stated around 2/15/25 she reported this issue to the facility maintenance worker (MW). Resident 1 stated nothing had been done regarding her complaint. During an interview on 3/20/25 at 1:59 p.m. with MW, MW stated Resident 1's sliding glass door was replaced on 1/17/25. MW stated the old sliding glass door had tint but the new one installed did not. MW stated Resident 1 voiced a complaint about the amount of light entering her room approximately one month after the new sliding glass door was installed. MW stated he voiced Resident 1's concerns to leadership (Administration, Social Services, Director of Nursing, and other individuals) during the morning meeting held daily. During an interview on 3/20/25 at 2:27 p.m. with Administrator in Training (AIT), AIT stated around 2/2025, MW mentioned in the morning meetings, Resident 1's concerns about the amount of light entering her room from the new sliding glass door. AIT stated he was not sure if there was documentation (continued on next page) 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 Page 1 of 2 Event ID: 555053 Printed: 05/15/2026 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 555053 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/20/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Valley View Care Center 729 Browning Road Delano, CA 93215 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)