Deficiency Records for Mountain View Care and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Mountain View Care and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-31 | 2024-01-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-27 | 2023-12-19 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-27 | 2023-12-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-27 | 2023-12-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-27 | 2023-12-19 | 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 | 2023-10-27 | 2023-12-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-27 | 2023-12-19 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-10-27 | 2023-12-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-10-27 | 2023-12-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-27 | 2023-12-19 | 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 | 2023-10-27 | 2023-12-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-27 | 2023-12-19 | N |
| Provide or obtain dental services for each resident. | Health | 2023-10-27 | 2023-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-27 | 2023-12-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-27 | 2023-12-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-27 | 2023-12-19 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-10-27 | 2023-12-19 | N |
| Meet other general requirements. | Fire Safety | 2023-10-31 | 2023-12-19 | 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 | 2023-10-31 | 2023-12-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-31 | 2023-12-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-31 | 2023-12-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-31 | 2023-12-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-31 | 2023-12-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-10-31 | 2023-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-31 | 2023-12-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-31 | 2023-12-19 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-10 | 2022-12-04 | 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 | 2022-11-10 | 2022-12-04 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2022-11-10 | 2022-12-04 | 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 | 2022-11-10 | 2022-12-04 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-11-10 | 2022-12-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-10 | 2022-12-04 | 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 | 2022-11-10 | 2022-12-04 | Y |
| Meet other general requirements. | Fire Safety | 2022-11-21 | 2022-12-04 | N |
| Use approved construction type or materials. | Fire Safety | 2022-11-21 | 2022-12-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-21 | 2022-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-21 | 2022-12-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-21 | 2022-12-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-21 | 2022-12-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-21 | 2022-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-21 | 2022-12-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-21 | 2022-12-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-21 | 2022-11-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-21 | 2022-11-10 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-21 | 2022-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-14 | 2022-07-18 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-06-14 | 2022-07-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-28 | 2022-03-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-01-28 | 2022-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-28 | 2022-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-28 | 2022-03-01 | 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 | 2022-01-28 | 2022-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-28 | 2022-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-28 | 2022-03-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-28 | 2022-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-28 | 2022-03-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-28 | 2022-03-01 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-01-28 | 2022-03-01 | 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 | 2022-01-28 | 2022-03-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-28 | 2022-03-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-01-28 | 2022-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-28 | 2022-03-01 | Y |
| 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 | 2022-01-28 | 2022-03-01 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-19 | 2022-02-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-01-19 | 2022-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-19 | 2022-02-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-19 | 2022-02-28 | N |
| 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 | 2021-09-21 | 2021-10-18 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-21 | 2021-10-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-20 | 2021-08-16 | Y |
| Keep all essential equipment working safely. | Health | 2023-08-16 | Not Fixed | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-16 | Not Fixed | Y |
