A list of the most recent deficiencies for Mountain View Health and Rehab. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | 2023-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-16 | 2023-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-22 | N |
| 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 | 2023-11-16 | 2023-12-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-16 | 2023-12-22 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-11-16 | 2023-12-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-16 | 2023-12-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-16 | 2023-12-22 | 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 | 2023-11-16 | 2023-12-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-16 | 2023-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-22 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-16 | 2023-12-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-16 | 2023-12-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-11-16 | 2023-12-15 | N |
| 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 | 2023-11-16 | 2023-12-15 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-11-16 | 2023-12-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-16 | 2023-12-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-11-16 | 2023-12-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-16 | 2023-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-16 | 2023-12-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-16 | 2023-12-07 | 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 | 2023-11-16 | 2023-11-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-16 | 2023-11-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-11 | 2023-05-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-31 | 2023-03-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-31 | 2023-03-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-01 | 2023-01-16 | 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 | 2022-12-01 | 2023-01-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-01 | 2023-01-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-12-01 | 2023-01-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-08 | 2023-01-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-01 | 2023-01-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-01 | 2022-12-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-12-01 | 2022-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-08 | 2022-12-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-08 | 2022-12-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-08 | 2022-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-08 | 2022-12-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-08 | 2022-12-23 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-12-01 | 2022-12-22 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-12-01 | 2022-12-22 | 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 | 2022-12-08 | 2022-12-22 | 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 | 2022-12-08 | 2022-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-08 | 2022-12-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-12-01 | 2022-12-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-28 | 2022-09-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-28 | 2022-09-01 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-07-28 | 2022-09-01 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-01-05 | 2022-02-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-14 | 2021-11-24 | N |
| 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 | 2021-10-14 | 2021-11-24 | 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 | 2021-10-14 | 2021-11-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-14 | 2021-11-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-14 | 2021-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-14 | 2021-11-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-14 | 2021-11-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-14 | 2021-11-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-14 | 2021-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-14 | 2021-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-13 | 2021-11-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-13 | 2021-11-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-13 | 2021-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-13 | 2021-11-16 | 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 | 2021-10-13 | 2021-11-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-10-13 | 2021-11-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-10-14 | 2021-11-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-10-13 | 2021-11-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-10-14 | 2021-10-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-10-13 | 2021-10-20 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-10-14 | 2021-10-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-25 | 2021-09-15 | N |
