A list of the most recent deficiencies for Mountain View Manor Nursing Ce. 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-02-22 | 2024-04-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-22 | 2024-04-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-22 | 2024-04-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-22 | 2024-04-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-26 | 2024-03-12 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-26 | 2024-03-12 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-26 | 2024-03-12 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-01-26 | 2024-03-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-26 | 2024-03-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-26 | 2024-03-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-26 | 2024-03-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-26 | 2024-03-12 | Y |
| 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 | 2024-01-26 | 2024-03-12 | Y |
| 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 | 2024-01-26 | 2024-03-12 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-01-26 | 2024-03-12 | Y |
| 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 | 2024-01-26 | 2024-03-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-03-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-26 | 2024-03-12 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-26 | 2024-03-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-03-12 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-26 | 2024-03-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-26 | 2024-01-26 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-08-25 | 2022-10-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-25 | 2022-10-25 | 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 | 2022-08-25 | 2022-10-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-25 | 2022-10-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-25 | 2022-10-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-25 | 2022-10-25 | 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 | 2022-07-15 | 2022-08-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-15 | 2022-08-13 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-15 | 2022-08-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-28 | 2021-06-21 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-05-28 | 2021-06-21 | Y |
