CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Mountain City Rehab Center
View the most recent health deficiencies and inspection results for Mountain City Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mountain City Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2026-03-06 | 2026-05-07 | 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 | 2026-03-06 | 2026-05-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-03-06 | 2026-05-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-03-06 | 2026-05-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-03-06 | 2026-05-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-03-06 | 2026-05-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2026-03-06 | 2026-05-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-03-06 | 2026-05-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-06 | 2026-05-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-03-06 | 2026-05-07 | N |
| Construct fire resistant interior walls. | Fire Safety | 2026-03-06 | 2026-05-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-06 | 2026-04-30 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-03-06 | 2026-04-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-03-06 | 2026-04-30 | N |
| 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 | 2026-03-06 | 2026-04-30 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2026-03-06 | 2026-04-30 | 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 | 2026-03-06 | 2026-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-06 | 2026-04-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-06 | 2026-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-03-06 | 2026-04-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-03-06 | 2026-04-30 | 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 | 2026-03-06 | 2026-04-30 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2026-03-06 | 2026-04-30 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-03-06 | 2026-04-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-07 | 2026-01-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-07 | 2026-01-07 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-11-07 | 2026-01-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-11-07 | 2026-01-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-07 | 2026-01-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-11-07 | 2026-01-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-07 | 2026-01-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-11-07 | 2026-01-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-11-07 | 2026-01-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-26 | 2025-01-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-26 | 2025-01-31 | 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 | 2024-11-26 | 2025-01-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-26 | 2025-01-31 | Y |
| 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 | 2024-11-26 | 2025-01-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-11-26 | 2025-01-31 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-11-26 | 2025-01-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-11-26 | 2025-01-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-11-26 | 2025-01-31 | 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 | 2024-11-26 | 2025-01-31 | 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 | 2024-11-26 | 2025-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-26 | 2025-01-31 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2024-11-26 | 2025-01-31 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-11-26 | 2025-01-31 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-11-26 | 2025-01-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-26 | 2025-01-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-26 | 2025-01-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-26 | 2025-01-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-26 | 2025-01-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-11-26 | 2025-01-14 | N |
| Provide activities to meet all resident's needs. | Health | 2024-11-26 | 2024-12-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-26 | 2024-12-20 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-11-26 | 2024-12-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-26 | 2024-12-20 | Y |
| Keep all essential equipment working safely. | Health | 2024-11-26 | 2024-12-20 | 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 | 2024-11-26 | 2024-12-20 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-11-26 | 2024-12-20 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-11-26 | 2024-12-20 | N |
| Respond appropriately to all alleged violations. | Health | 2024-11-26 | 2024-12-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-26 | 2024-12-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-11-26 | 2024-12-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-26 | 2024-12-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-11-26 | 2024-12-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-26 | 2024-12-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-11-26 | 2024-12-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-26 | 2024-12-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-11-26 | 2024-12-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-11-26 | 2024-12-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-26 | 2024-12-20 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-11-26 | 2024-12-20 | 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 (including nights and weekends) and emergencies. | Health | 2024-11-26 | 2024-12-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-26 | 2024-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-26 | 2022-12-06 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-09-20 | 2019-11-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-20 | 2019-11-30 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-09-20 | 2019-11-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-20 | 2019-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-20 | 2019-11-30 | N |
| Keep all essential equipment working safely. | Health | 2019-09-20 | 2019-11-30 | N |
| Have an externally vented heating system. | Fire Safety | 2019-09-20 | 2019-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-20 | 2019-11-15 | N |