A list of the most recent deficiencies for Monte Vista Healthcare Center. 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 and implement an infection prevention and control program. | Health | 2023-05-26 | 2023-06-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-02-06 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-01-26 | 2023-02-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-04 | 2022-11-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-09 | 2022-09-30 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-07-11 | 2022-08-25 | 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 | 2022-05-25 | 2022-06-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-24 | 2022-06-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-15 | 2022-06-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-13 | 2022-03-10 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-02-13 | 2022-03-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-13 | 2022-03-10 | Y |
| 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. | Health | 2022-02-13 | 2022-03-10 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-11-12 | 2022-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-12 | 2022-02-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-11-12 | 2022-01-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-12 | 2022-01-11 | N |
| 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. | Health | 2021-11-12 | 2022-01-11 | N |
| Post nurse staffing information every day. | Health | 2021-11-12 | 2022-01-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-11-12 | 2022-01-11 | N |
| 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. | Health | 2021-11-12 | 2022-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-12 | 2022-01-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-11-12 | 2022-01-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-12 | 2022-01-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-10 | 2022-01-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-10 | 2022-01-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-10 | 2022-01-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-10 | 2022-01-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-26 | 2021-09-22 | Y |
| Report COVID19 data to residents and families. | Health | 2021-05-27 | 2021-06-15 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-06-04 | 2021-06-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-29 | 2021-05-13 | Y |
| 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. | Health | 2021-04-29 | 2021-05-13 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-11 | 2020-01-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-11 | 2020-01-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-11 | 2020-01-08 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-12-12 | 2020-01-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-12 | 2020-01-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-12-12 | 2020-01-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-12 | 2020-01-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-12 | 2020-01-07 | N |
| Request a waiver if it can't meet the nurse staffing requirements. | Health | 2019-12-12 | 2020-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-01-07 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-12-12 | 2020-01-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-12 | 2020-01-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-12 | 2020-01-07 | N |
| Keep all essential equipment working safely. | Health | 2019-12-12 | 2020-01-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-01 | 2018-12-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-01 | 2018-12-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-12-01 | 2018-12-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-12-01 | 2018-12-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-12-01 | 2018-12-26 | N |
| 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. | Health | 2018-12-01 | 2018-12-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-01 | 2018-12-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-01 | 2018-12-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-12-01 | 2018-12-19 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2018-12-01 | 2018-12-19 | N |
