A list of the most recent deficiencies for Monte Vista Hills 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-20 | 2021-09-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-20 | 2021-09-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-20 | 2021-09-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-20 | 2021-09-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-03-24 | 2021-04-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-24 | 2021-04-21 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Meet other general requirements. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-05-04 | 2018-05-25 | 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 | 2018-05-04 | 2018-05-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-04 | 2018-05-25 | 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 | 2018-05-04 | 2018-05-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-04 | 2018-05-25 | 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 | 2018-05-04 | 2018-05-25 | 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 | 2018-05-04 | 2018-05-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-04 | 2018-05-25 | 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 | 2018-05-04 | 2018-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-04 | 2018-05-25 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-26 | 2017-02-13 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-01-26 | 2017-02-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-26 | 2017-02-13 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-22 | 2016-10-25 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-09-22 | 2016-10-25 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2016-09-22 | 2016-10-25 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-22 | 2016-10-25 | N |
