Deficiency Records for Mountain City Care and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Mountain City 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-10-18 | 2022-10-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-18 | 2022-10-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-18 | 2022-10-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-18 | 2022-10-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-10-18 | 2022-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-19 | 2022-10-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-23 | 2022-07-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-01 | 2022-03-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-01 | 2022-03-01 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-10-02 | 2019-11-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-02 | 2019-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-02 | 2019-11-01 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-01 | 2019-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-02 | 2019-10-26 | 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 | 2019-10-02 | 2019-10-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-10-11 | 2018-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-11 | 2018-11-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-11 | 2018-11-16 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-10-11 | 2018-11-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-11 | 2018-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-11 | 2018-11-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-11 | 2018-11-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-09 | 2018-11-16 | N |
