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Deficiency Records for Mountain City Nursing and Rehabilitation Center

View the most recent health deficiencies and inspection results for Mountain City Nursing and Rehabilitation Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Mountain City Nursing and Rehabilitation Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-01-12 2026-01-27 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2025-03-27 2025-03-31 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-03-27 2025-03-31 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-02-07 2025-03-31 N
Provide enough food/fluids to maintain a resident's health. Health 2025-01-03 2025-03-27 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-02-07 2025-03-27 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2025-02-07 2025-03-27 N
Ensure each resident receives an accurate assessment. Health 2025-02-07 2025-03-27 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2025-02-07 2025-03-27 N
Use approved construction type or materials. Fire Safety 2025-02-07 2025-03-11 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-02-07 2025-03-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-02-07 2025-03-11 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2025-02-07 2025-03-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-02-07 2024-09-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-31 2024-07-29 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-04-19 2024-07-29 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-07-10 2024-07-29 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 2024-07-10 2024-07-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-10 2024-07-29 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-07-10 2024-07-29 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-07-10 2024-07-29 Y
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 2024-03-20 2024-07-10 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-05-31 2024-07-10 Y
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2024-05-31 2024-07-10 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-05-31 2024-07-10 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-31 2024-07-10 Y
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 2024-04-19 2024-07-10 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-04-19 2024-07-10 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-05-31 2024-07-10 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-19 2024-07-10 N
Ensure that residents are free from significant medication errors. Health 2024-04-19 2024-07-10 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2024-04-19 2024-07-10 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-04-19 2024-07-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-19 2024-07-10 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-04-19 2024-07-10 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 2024-04-19 2024-07-10 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-04-19 2024-07-10 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-04-19 2024-07-10 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-04-19 2024-05-14 N
Use approved construction type or materials. Fire Safety 2024-04-19 2024-05-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-04-19 2024-05-14 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-03-20 2024-04-19 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-11-21 2023-12-19 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-21 2023-12-19 Y
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 2023-09-06 2023-10-17 Y
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 2023-09-06 2023-10-17 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-06 2023-10-17 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-09-28 2023-10-17 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-09-28 2023-10-17 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-28 2023-09-17 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 2023-05-12 2023-06-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-12 2023-06-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-05-12 2023-06-12 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-21 2023-06-08 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-05-12 2023-06-08 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-05-12 2023-06-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-12 2023-06-08 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 2023-05-12 2023-06-08 N
Provide enough food/fluids to maintain a resident's health. Health 2023-05-12 2023-06-08 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-05-12 2023-06-08 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-05-12 2023-06-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-12 2023-06-08 N

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