Goshen, NY

The Valley View Center For Nursing Care And Rehab

2-star overall rating with 1-star inspections with 16 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

2 Glenmere Cove Rd, Goshen, NY

(845) 291-4740

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

360

Certified beds

Average residents

220

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.70

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.76

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.99

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.23

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.54

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.55

CMS adjusted RN staffing hours

Adjusted total hours

4.15

CMS adjusted total nurse staffing hours

Case-mix index

1.31

Higher values indicate more complex resident acuity

RN turnover

16%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

20%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

575

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

67.20

Composite VBP score used to determine payment impact.

Payment multiplier

1.0208

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

7.26

Baseline 19.85% · Performance 18.07% · Measure score 7.26 · Achievement 7.26 · Improvement 5.83

Healthcare-associated infections

7.46

Baseline 6.80% · Performance 5.61% · Measure score 7.46 · Achievement 7.46 · Improvement 6.12

Total nurse turnover

10

Baseline 20.49% · Performance 19.23% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

2.16

Baseline 3.86 hours · Performance 3.69 hours · Measure score 2.16 · Achievement 2.16 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.08%
10.72%
0.6 pts better
No Different than the National Rate · Eligible stays 356 · Observed rate 9.55% · Lower 95% interval 7.64%
Discharge to community 53.25%
50.57%
2.7 pts better
No Different than the National Rate · Eligible stays 360 · Observed rate 45.56% · Lower 95% interval 47.15%
Medicare spending per beneficiary 1.26
1.02
0.2 pts worse
Drug regimen review with follow-up 35.89%
95.27%
59.4 pts worse
Numerator 89 · Denominator 248
Falls with major injury 0.81%
0.77%
About the same
Numerator 2 · Denominator 248
Discharge self-care score 39.58%
53.69%
14.1 pts worse
Numerator 76 · Denominator 192
Discharge mobility score 72.92%
50.94%
22 pts better
Numerator 140 · Denominator 192
Pressure ulcers or injuries, new or worsened 2.82%
2.29%
0.5 pts worse
Numerator 7 · Denominator 248 · Adjusted rate 2.55%
Healthcare-associated infections requiring hospitalization 5.61%
7.12%
1.5 pts better
No Different than the National Rate · Eligible stays 257 · Observed rate 4.28% · Lower 95% interval 3.62%
Staff COVID-19 vaccination coverage 0.57%
8.2%
7.6 pts worse
Numerator 2 · Denominator 348
Staff flu vaccination coverage 65.21%
42%
23.2 pts better
Numerator 238 · Denominator 365
Discharge function score 63.54%
56.45%
7.1 pts better
Numerator 122 · Denominator 192
Transfer of health information to provider 97.62%
95.95%
1.7 pts better
Numerator 41 · Denominator 42
Transfer of health information to patient 99.28%
96.28%
3 pts better
Numerator 137 · Denominator 138
Resident COVID-19 vaccinations up to date 16.91%
25.2%
8.3 pts worse
Numerator 23 · Denominator 136

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
1.7
0.3 pts better
1.9
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.5
1.3
0.8 pts better
1.8
1.3 pts better
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 76.8%
91.2%
14.4 pts worse
93.4%
16.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 69.9% · Q3 72.1% · Q4 84.2% · 4Q avg 76.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.3%
95.3%
2 pts better
95.5%
1.8 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.3%
Percentage of long-stay residents experiencing one or more falls with major injury 3.9%
3.0%
0.9 pts worse
3.3%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 4.4% · Q3 4.4% · Q4 3.5% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.9%
18.5%
17.6 pts better
11.4%
10.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.1% · Q3 0.5% · Q4 0.5% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight 7.2%
6.1%
1.1 pts worse
5.4%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 5.7% · Q3 7.7% · Q4 6.7% · 4Q avg 7.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.4%
13.5%
4.9 pts worse
19.6%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 19.6% · Q3 17.6% · Q4 16.3% · 4Q avg 18.4%
Percentage of long-stay residents who received an antipsychotic medication 16.1%
14.8%
1.3 pts worse
16.7%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 16.7% · Q3 14.9% · Q4 13.5% · 4Q avg 16.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 21.2%
15.1%
6.1 pts worse
16.3%
4.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 18.6% · Q3 23.8% · Q4 23.6% · 4Q avg 21.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 18.1%
15.5%
2.6 pts worse
14.9%
3.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 17.3% · Q3 18.2% · Q4 15.7% · 4Q avg 18.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
0.6%
0.4 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.5%
1.4%
0.1 pts worse
1.7%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.0% · Q3 2.0% · Q4 0.5% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.8%
20.8%
2 pts worse
19.8%
3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 22.2% · Q3 19.5% · Q4 22.9% · 4Q avg 22.8%
Percentage of long-stay residents with pressure ulcers 5.4%
6.9%
1.5 pts better
5.1%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.4% · Q3 4.6% · Q4 3.0% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 60.4%
76.7%
16.3 pts worse
81.7%
21.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 65.4% · Q2 62.9% · Q3 54.0% · Q4 58.3% · 4Q avg 60.4%
Percentage of short-stay residents who had an outpatient emergency department visit 6.1%
9.7%
3.6 pts better
12.0%
5.9 pts better
Short Stay · 20240701-20250630 · Adjusted 6.1% · Observed 6.4% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.2%
1.2 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 76.6%
78.8%
2.2 pts worse
79.7%
3.1 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.3%
20.6%
2.3 pts better
23.9%
5.6 pts better
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 18.6% · Expected 24.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-06-08 · Fire 2023-06-08

16 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2019-08-09 · Fire 2019-08-09

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2017-09-12 · Fire 2017-09-12

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-06-08

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-08-24

E · Potential for more than minimal harm 2023-06-08

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-07-25

E · Potential for more than minimal harm 2023-06-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-07-31

E · Potential for more than minimal harm 2023-06-08

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-07-31

E · Potential for more than minimal harm 2023-06-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

K361 · Smoke Deficiencies

Fire Safety

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2023-08-04

C · Minimal harm 2023-06-08

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-07-05

C · Minimal harm 2023-06-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-14

E · Potential for more than minimal harm 2019-08-09

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2019-10-04

E · Potential for more than minimal harm 2019-08-09

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-10-04

E · Potential for more than minimal harm 2019-08-09

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-10-04

E · Potential for more than minimal harm 2019-08-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-10-04

E · Potential for more than minimal harm 2019-08-09

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2019-10-04

E · Potential for more than minimal harm 2019-08-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-09

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-09

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-10-04

E · Potential for more than minimal harm 2017-09-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2017-10-20

E · Potential for more than minimal harm 2017-09-12

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2017-10-20

E · Potential for more than minimal harm 2017-09-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2017-10-20

D · Potential for more than minimal harm 2017-09-12

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2017-10-20

D · Potential for more than minimal harm 2017-09-12

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2017-10-20

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-01

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-08-15

D · Potential for more than minimal harm 2025-07-01

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-08-15

D · Potential for more than minimal harm 2025-07-01

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2025-08-15

D · Potential for more than minimal harm 2024-04-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-31

E · Potential for more than minimal harm 2023-06-08

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2023-08-04

E · Potential for more than minimal harm 2023-06-08

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-06-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-04

E · Potential for more than minimal harm 2019-08-09

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2019-10-04

E · Potential for more than minimal harm 2019-08-09

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-09

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-09

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-09

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-09

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2019-10-04

E · Potential for more than minimal harm 2017-09-12

F371 · Nutrition and Dietary Deficiencies

Health

Store, cook, and serve food in a safe and clean way.

Corrected 2017-10-20

D · Potential for more than minimal harm 2017-09-12

F280 · Resident Assessment and Care Planning Deficiencies

Health

Allow residents the right to participate in the planning or revision of care and treatment.

Corrected 2017-10-20

D · Potential for more than minimal harm 2017-09-12

F282 · Quality of Life and Care Deficiencies

Health

Provide care by qualified persons according to each resident's written plan of care.

Corrected 2017-10-20

D · Potential for more than minimal harm 2017-09-12

F441 · Environmental Deficiencies

Health

Have a program that investigates, controls and keeps infection from spreading.

Corrected 2017-10-20

Penalties and ownership

What sits behind the stars

Ownership

Ladue, Laurence

W-2 Managing Employee · Individual

0% 1 facilities 2013-01-15
Neuhaus, Steven

Corporate Officer · Individual

0% 1 facilities 2014-01-01
Strecker, Donna

W-2 Managing Employee · Individual

0% 1 facilities 2012-01-10

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