Deficiency Records for Mountain Ridge Center, Genesis Healthcare
Updated as of March 01, 2024
A list of the most recent deficiencies for Mountain Ridge Center, Genesis Healthcare. 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? |
|---|---|---|---|---|
| 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 | 2023-06-08 | 2023-07-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-08 | 2023-07-27 | 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 | 2023-06-06 | 2023-07-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-06-06 | 2023-07-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-06 | 2023-07-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-08 | 2023-06-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-06-07 | 2022-07-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-07 | 2022-07-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-07 | 2022-07-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-07 | 2022-07-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-07 | 2022-07-27 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-07 | 2022-07-27 | 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 | 2022-06-07 | 2022-07-27 | 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 | 2022-06-07 | 2022-07-27 | 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 | 2022-06-06 | 2022-07-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-06 | 2022-07-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-06 | 2022-07-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-06 | 2022-07-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-06 | 2022-07-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-08 | 2021-08-13 | Y |
| 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 | 2021-05-11 | 2021-07-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-11 | 2021-07-08 | 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 | 2021-05-13 | 2021-05-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-13 | 2021-05-31 | N |
