A list of the most recent deficiencies for The Springs of Mt Vista. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-07-18 | 2023-08-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-07-18 | 2023-08-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-07-18 | 2023-08-20 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-07-21 | 2023-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-21 | 2023-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-08-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-21 | 2023-08-13 | N |
| 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. | Health | 2023-07-21 | 2023-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-21 | 2023-08-13 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-07-21 | 2023-08-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-21 | 2023-08-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-21 | 2023-08-13 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-07-08 | 2022-07-25 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-22 | 2022-05-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-22 | 2022-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-05-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-22 | 2022-05-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-22 | 2022-05-23 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-04-22 | 2022-05-23 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-04-22 | 2022-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-22 | 2022-05-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-20 | 2022-05-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-22 | 2021-10-19 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-22 | 2021-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-22 | 2021-10-19 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-08-06 | 2021-08-31 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-03-05 | 2021-03-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-05 | 2021-03-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-05 | 2021-03-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-05 | 2021-03-29 | N |
| 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. | Health | 2021-03-05 | 2021-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-05 | 2021-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-05 | 2021-03-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-03-01 | 2021-03-29 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-03-01 | 2021-03-29 | N |
