VALLEY HOUSE REHABILITATION CENTER
The information listed below provides an in-depth look into the type and quality of care offered at Valley House Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
VALLEY HOUSE REHABILITATION CENTER
991 CLYDE AVENUE
SANTA CLARA, CA 95054
(408) 988-7666
991 CLYDE AVENUE
SANTA CLARA, CA 95054
(408) 988-7666
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
76%Number of Residents and Certified Beds
- Residents: 153
- Certified Beds: 201
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Both Resident and Family Counseling Services
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Valley House Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 48.3% |
| ADL Index Range: 6-10 | 27.2% |
| ADL Index Range: 0-5 | 5.6% |
| Total Percent: | 81.1% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 5.2% |
| ADL Index Range: 6-10 | 2.8% |
| ADL Index Range: 0-5 | 3.6% |
| Total Percent: | 11.6% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 3.3% |
| ADL Index Range: 6-10 | 1.0% |
| Total Percent: | 4.3% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 0.06% |
| Total Percent: | 0.06% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - No Signs of depression | 1.8% |
| ADL Index Range: 11-14 - No Signs of depression | 0.9% |
| ADL Index Range: 2-5 - No Signs of depression | 0.2% |
| Total Percent: | 2.8% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 6-10 - No Signs of depression | 0.1% |
| Total Percent: | 0.1% |
Rating Details For Valley House Rehabilitation Center
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 46 Minutes | 1 Hour and 9 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 42 Minutes | |
| Certified Nursing Assistant (CNA) Hours | 3 Hours and 10 Minutes | 2 Hours and 38 Minutes |
| Total Licensed Nurse Hours | 46 Minutes | 1 Hour and 51 Minutes |
| Total Nurse Hours | 3 Hours and 56 Minutes | 4 Hours and 28 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for California are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | California Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 80% | 87% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 58% | 86% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 4% | 8% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 9% | 8% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 58% | 58% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 7% | 7% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 7% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 13% | 10% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 4% | 5% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 21% | 12% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 4% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 15% | 11% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 3% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 19% | 9% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 68% | 83% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 47% | 81% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Pressure Sores | 14% | 17% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 20% | 23% |
| Percent of Short-Stay Residents Who Have Delirium | - | 2% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/06/2011.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Train All Employees on What to Do in an Emergency.
|  |  |
Keep Accurate and Appropriate Medical Records.
| | |
Environmental
Have a Program to Keep Infection from Spreading.
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Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
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Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Have a Program to Keep Infection from Spreading.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Properly Mark Drugs and Other Similar Products.
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Properly Mark Drugs and Other Similar Products.
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Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
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Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
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Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
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Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
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Resident Rights
Tell the Resident Completely About His or Her Health Status.
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Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Provide Services to Meet the Needs and Preferences of Each Resident.
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Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.
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Tell the Resident Completely About His or Her Health Status.
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Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
| Action Taken | Date | Amount |
| Civil Money Penalty (CMP) | 11/12/2008 | $36,000 |
| Denial of Payment for New Admission (DPNA) | 11/12/2008 | - |
| Denial of Payment for New Admission (DPNA) | 12/16/2009 | - |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Valley House Rehabilitation Center, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Resident Rights
Provide Written Records when a Resident is Transferred or Discharged.
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Provide Enough Notice Before Discharging or Transferring a Resident.
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Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed.
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Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home.
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Provide Written Records when a Resident is Transferred or Discharged.
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Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed.
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Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home.
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Provide Enough Notice Before Discharging or Transferring a Resident.
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Provide Enough Notice Before Discharging or Transferring a Resident.
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Help and Prepare Each Resident for a Safe and Easy Discharge and Transfer from the Nursing Home.
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Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed.
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Provide Written Records when a Resident is Transferred or Discharged.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Valley House Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/12/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Portable Fire Extinguishers.
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Building Construction
Approved Construction Type or Materials.
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Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
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Electrical
Weekly Inspections and Monthly Testing of Generators.
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Properly Installed Electrical Wiring and Equipment.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Restrictions on the Use of Highly Flammable Materials.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Medical Gases and Anesthetizing Areas
Proper Medical Gas Storage and Administration Areas.
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Proper Medical Gas Storage and Administration Areas.
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Proper Medical Gas Storage and Administration Areas.
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Source: Medicare Nursing Home Compare; Department of Health Services of California - Licensing and Certification Program - Retrieved 2011
