Armstrong, IA

Valley Vue Care Center

5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

108 Second Ave, Armstrong, IA

(712) 864-3567

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

32

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1997-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.89

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.55

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.68

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

4.12

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.44

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.65

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.59

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

1.06

CMS adjusted RN staffing hours

Adjusted total hours

4.93

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

38%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

389

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

Performance score

70.88

Composite VBP score used to determine payment impact.

Payment multiplier

1.0228

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

10

Baseline 50.00% · Performance 23.53% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

4.18

Baseline 4.13 hours · Performance 4.27 hours · Measure score 4.18 · Achievement 4.18 · Improvement 0.30

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.1%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 45 · Observed rate 11.11% · Lower 95% interval 7.02%
Discharge to community	49.46%	50.57% 1.1 pts worse	No Different than the National Rate · Eligible stays 33 · Observed rate 42.42% · Lower 95% interval 35.14%
Medicare spending per beneficiary	0.69	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 26 · Denominator 26
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 26
Discharge self-care score	52%	53.69% 1.7 pts worse	Numerator 13 · Denominator 25
Discharge mobility score	40%	50.94% 10.9 pts worse	Numerator 10 · Denominator 25
Pressure ulcers or injuries, new or worsened	3.85%	2.29% 1.6 pts worse	Numerator 1 · Denominator 26 · Adjusted rate 5.02%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 67
Staff flu vaccination coverage	48.48%	42% 6.5 pts better	Numerator 32 · Denominator 66
Discharge function score	60%	56.45% 3.5 pts better	Numerator 15 · Denominator 25
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	1.5 0.5 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.4	2.1 0.3 pts worse	1.8 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.5 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	81.4%	94.0% 12.6 pts worse	93.4% 12 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 88.9% · Q2 89.7% · Q3 83.3% · Q4 63.0% · 4Q avg 81.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.8%	95.2% 1.6 pts better	95.5% 1.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8%
Percentage of long-stay residents experiencing one or more falls with major injury	3.5%	3.7% 0.2 pts better	3.3% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.4% · Q3 3.3% · Q4 3.7% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.1%	4.0% 1.9 pts better	11.4% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 3.8% · Q4 0.0% · 4Q avg 2.1%
Percentage of long-stay residents who lose too much weight	5.7%	4.9% 0.8 pts worse	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.8% · Q3 4.8% · Q4 8.7% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.6%	20.6% 5 pts worse	19.6% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 22.7% · Q3 28.6% · Q4 25.0% · 4Q avg 25.6%
Percentage of long-stay residents who received an antipsychotic medication	32.9%	19.8% 13.1 pts worse	16.7% 16.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 30.0% · 4Q avg 32.9% · 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	18.2%	18.5% 0.3 pts better	16.3% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.0%	18.3% 4.3 pts better	14.9% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 9.5% · Q3 10.0% · Q4 21.7% · 4Q avg 14.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.7% 1.7 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.6%	2.5% 1.1 pts worse	1.7% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 0.0% · Q3 3.3% · Q4 3.8% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	34.2%	26.0% 8.2 pts worse	19.8% 14.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 45.6% · Q3 36.3% · Q4 23.9% · 4Q avg 34.2%
Percentage of long-stay residents with pressure ulcers	4.5%	4.3% 0.2 pts worse	5.1% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.3% · Q3 6.5% · Q4 5.1% · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	83.8%	84.3% 0.5 pts worse	81.7% 2.1 pts better	Short Stay · 2024Q4-2025Q3 · Q2 100.0% · Q4 52.0% · 4Q avg 83.8%
Percentage of short-stay residents who had an outpatient emergency department visit	9.5%	13.1% 3.6 pts better	12.0% 2.5 pts better	Short Stay · 20240701-20250630 · Adjusted 9.5% · Observed 8.7% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	81.0%	73.3% 7.7 pts better	79.7% 1.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 81.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	10.3%	21.3% 11 pts better	23.9% 13.6 pts better	Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 8.7% · Expected 20.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-13 · Fire 2025-02-13

6 health deficiencies

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

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2024-02-29 · Fire 2024-02-29

3 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-12-27 · Fire 2022-12-27

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-13

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-02-24

F · Potential for more than minimal harm 2025-02-13

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-02-24

F · Potential for more than minimal harm 2025-02-13

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2025-03-06

F · Potential for more than minimal harm 2025-02-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-31

F · Potential for more than minimal harm 2024-02-29

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-03-18

E · Potential for more than minimal harm 2024-02-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-18

D · Potential for more than minimal harm 2024-02-29

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-03-18

F · Potential for more than minimal harm 2022-12-27

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-01-29

F · Potential for more than minimal harm 2022-12-27

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-01-29

F · Potential for more than minimal harm 2022-12-27

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-01-06

F · Potential for more than minimal harm 2022-12-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-01-06

E · Potential for more than minimal harm 2022-12-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-06

D · Potential for more than minimal harm 2022-12-27

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 2023-01-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-13

D · Potential for more than minimal harm 2025-02-13

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 2025-03-13

D · Potential for more than minimal harm 2025-02-13

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-03-13

D · Potential for more than minimal harm 2025-02-13

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-03-13

D · Potential for more than minimal harm 2025-02-13

F811 · Nutrition and Dietary Deficiencies

Health

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

Corrected 2025-03-13

D · Potential for more than minimal harm 2025-02-13

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-03-13

D · Potential for more than minimal harm 2024-02-29

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 2024-03-29

D · Potential for more than minimal harm 2024-02-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-29

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 2024-03-29

J · Immediate jeopardy 2022-12-27

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-01-11

Penalties and ownership

What sits behind the stars

Ownership

Iowa Portfolio Opco Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 20 facilities 2024-08-15

Chaim Rajchenbach Descendants Tr Ua 04282008

5% Or Greater Indirect Ownership Interest · Organization

46% 83 facilities 2024-08-15

Beasley, Karla