Valley Hospital
An acute care hospital in Paramus, New Jersey 07652
4 Valley Health Plaza, Paramus, New Jersey 07652. (201) 447-8000.
- Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer
Record last released by CMS on Oct 20, 2026.
- 4of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 431 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Jun 3, 2026: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Jun 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Jun 3, 2026: complaint inspection2 deficiencies
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Supervision Of Contract Staff
The inspectors’ words, 565 words
“SUPERVISION OF CONTRACT STAFF CFR(s): 482.23(b)(6) All licensed nurses who provide services in the hospital must adhere to the policies and procedures of the hospital. The director of nursing service must provide for the adequate supervision and evaluation of all nursing personnel which occur within the responsibility of the nursing service, regardless of the mechanism through which those personnel are providing services (that is, hospital employee, contract, lease, other agreement, or volunteer). This Standard is not met as evidenced by: 46468 Based on medical record review, review of facility documents and staff interview, it was determined the facility failed to ensure that all Code Blue medical emergencies are documented on the required Code Blue document, in one of one medical record (Patient (P)1) reviewed of patients that experienced a medical emergency in the operating room (OR). Findings include: Facility policy titled “Emergency ‘Medical Alert’ Response and Equipment Maintenance” dated 05/25, stated, “Procedure ...4. Document all interventions and patient responses on Code Record. 5. Obtain signatures as indicated on Code Record ...” On 06/03/26 at 12:10 PM a review of P1’s medical record was reviewed in the presence of Staff (S)6 and S7, and revealed the following: On 03/05/26, P1 went to the OR for a scheduled cystoscopy, left ureteroscopy laser lithotripsy stone extraction/manipulation ureteral dilation stent insertion. The Anesthesia Record “Event Note” dated 03/05/26 stated, “Event Note 18:10 [6:10 PM] Notes-Induction; 18:15 [6:15 PM] Notes-Patient not ventilating after LMA [laryngeal mask airway] placement and found to be in laryngospasm ....Intubated with 8.0 ETT. 02 sat [oxygen saturation] noted to be 20%. Help called for after intubation. 02 sat brought back up from 20% to 100% with manual bag ventilation. As airway being secured, verbal report of no radial pulse by RN so brief moment of chest compressions administered ...Due to unclear nature of true cardiac arrest a central pulse was checked at carotid approximately 15 seconds after initiation of ACLS (advanced cardiovascular life support) ...decision made to not abort case and continue. CXR (chest x-ray) ordered to assess for complications post chest compressions ...Providers [name of Anesthesiologist from 03/05/26 procedure] ...Electronically signed at 03/05/2026 22:56 [10:56 PM].” The Anesthesia Record “Addendum” dated 03/05/26 stated, “Addendum to induction. Critical event note added regarding interventions performed after laryngospasm detected. Electronically Signed by [name of Anesthesiologist from 03/05/26 procedure] on 04/29/2026 1403 [2:03 PM].” P1’s medical record lacked evidence of a Code Record document. On 06/03/26 at 11:22 AM, an interview was conducted with S13. S13 stated that when a patient’s oxygen saturation drops, the circulating RN will call for help, hit the code button in the room and start CPR. Once someone [any free staff in the OR] comes into the room, it is the RN’s responsibility to record the code. S13 stated that after the code, the RN and the anesthesiologist will compare times of their documentation; the RN documents on the Code Record and the Anesthesiologist writes an Event note. S13 stated that the anesthesiologist is the head of the room during a code. On 06/03/26 at 12:20 PM, an interview was conducted with S7. S7 stated “There is no special event note [in P1’s medical record; aside from the Anesthesia Record Addendum dated 04/29/26]. A special event note is not required. The Code Record documentation is enough.” At 2:19 PM, S6 and S7 confirmed P1’s medical record lacked the Code Record document dated 03/05/26.”
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Delivery Of Anesthesia Services
The inspectors’ words, 450 words
“DELIVERY OF ANESTHESIA SERVICES CFR(s): 482.52(b) Anesthesia services must be consistent with needs and resources. Policies on anesthesia procedures must include the delineation of pre-anesthesia and post-anesthesia responsibilities. The policies must ensure that the following are provided for each patient: This Standard is not met as evidenced by: 46468 Based on medical record review, review of facility documents, and staff interview, it was determined the facility failed to ensure that an anesthesia policy is in place to address the documentation protocol for cardiac and respiratory emergencies. Findings include: On 06/03/26 at 12:10 PM a review of Patient (P)1’s medical record was reviewed in the presence of Staff (S)6 and S7, and revealed the following: On 03/05/26, P1 went to the operating room (OR) for a scheduled cystoscopy, left ureteroscopy laser lithotripsy stone extraction/manipulation ureteral dilation stent insertion. The Anesthesia Record “Event Note” dated 03/05/26 stated, “Event Note 18:10 [6:10 PM] Notes-Induction; 18:15 [6:15 PM] Notes-Patient not ventilating after LMA [laryngeal mask airway] placement and found to be in laryngospasm ....Intubated with 8.0 ETT. 02 sat [oxygen saturation] noted to be 20%. Help called for after intubation. 02 sat brought back up from 20% to 100% with manual bag ventilation. As airway being secured, verbal report of no radial pulse by RN so brief moment of chest compressions administered ...Due to unclear nature of true cardiac arrest a central pulse was checked at carotid approximately 15 seconds after initiation of ACLS (advanced cardiovascular life support) ...decision made to not abort case and continue. CXR (chest x-ray) ordered to assess for complications post chest compressions ...Providers [name of Anesthesiologist from 03/05/26 procedure] ...Electronically signed at 03/05/2026 22:56 [10:56 PM].” The Anesthesia Record “Addendum” dated 03/05/26 stated, “Addendum to induction. Critical event note added regarding interventions performed after laryngospasm detected. Electronically Signed by [name of Anesthesiologist from 03/05/26 procedure] on 04/29/2026 1403 [2:03 PM].” On 06/03/26 at 11:16 AM, an interview was conducted with Staff (S)11. S11 stated that S17 had written a note in the Anesthesia Record about P1’s desaturation [on 03/05/26] but had left out the chest compressions performed on P1. S11 encouraged S17 to write an addendum in the Anesthesia Record to reflect the event. At 11:30 AM, the facility’s Anesthesia Services policy for documentation of Medical Emergencies was requested. The facility’s Medical Staff Bylaws dated 03/25, and Rules And Regulations of The Medical Staff dated 11/23, were reviewed and it was determined that the Medical Staff Bylaws and the Rules and Regulations of The Medical Staff lacked evidence of a protocol for the documentation of medical emergencies. At 2:15 PM, S5 confirmed the facility does not have an Anesthesia Services policy guiding the protocol and documentation of Medical Emergencies.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 3, 2026 | Complaint inspection | 2 deficiencies cited |
| Aug 21, 2025 | Complaint inspection | No deficiencies cited |
| Nov 14, 2024 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 4 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 1 better and 1 worse of 8; safety of care, 3 better and 0 worse of 8; readmission, 2 better and 0 worse of 11.
- Patients rate it 4 of 5 in CMS’s patient survey (1,370 surveys completed, Oct 1, 2024 to Sep 30, 2025): 77% rated it 9 or 10 out of 10, and 79% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 13%, heart failure 12.9%, pneumonia 15.2%, COPD 10.8%, stroke 8.8%, heart bypass surgery 2.1%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 15%, heart failure 20.6%, pneumonia 18.8%, COPD 20.6%, heart bypass surgery 14.1%, hip or knee replacement 5.9%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, worse than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, better than expected.
- Emergency department patients spent a median of 227 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 52% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.03 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 4 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 4 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
| Date | What | Detail |
|---|---|---|
| Medicare payment reduction (HAC Reduction Program) | Fiscal year 2026: 1% of Medicare payments |
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
- 95% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- The Valley Hospital Inc. owns an unstated share directly since Nov 1, 2007.
- 21 owners or officers are people: Judy Baselice (corporate director); M Shawn Kennedy (corporate director); Michelle Hasson (corporate director); Christopher Tascione (managing employee (on the payroll)); Bruce Mactas (corporate director); Thalia Smith (corporate officer); Scott Schroeder (corporate director); Timothy C Wentworth (corporate director); Joseph Marion (corporate director); Kevin Lobo (corporate director); Patricia Verduin (corporate director); Duane Sachs (corporate director); Wayne Wald (corporate director); Thomas J Rakowski (corporate officer); Denis Salamone (corporate director); Dara Byrne (corporate director); Robert W Brenner (corporate director); Robert W Brenner (managing employee (on the payroll)); Gurbir Grewal (corporate director); James Bush (corporate director); Michael Mcguire (corporate director).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
How does it compare nearby?
- Of the 7 hospitals CMS lists in Bergen County, 5 have an overall star rating from CMS: 3 rated 5 of 5, 2 rated 4 of 5.
- CMS rates this one 4 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Bergen New Bridge Medical Center | Not given |
| Hackensack University Medical Center | 5 |
| Holy Name Medical Center | 5 |
| Englewood Hospital and Medical Center | 4 |
| Hackensack Meridian Health Pascack Valley Medical | 5 |
| Ramapo Ridge Behavioral Health Hospital | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.