A list of the most recent deficiencies for Mountain View Health Services. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-31 | 2022-12-30 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-10-31 | 2022-12-30 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-10-31 | 2022-12-30 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-10-31 | 2022-12-30 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-10-31 | 2022-12-30 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-10-31 | 2022-12-30 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-10-31 | 2022-12-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-31 | 2022-12-30 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-10-31 | 2022-12-30 | 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 | 2022-10-31 | 2022-12-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-31 | 2022-12-30 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-10-31 | 2022-12-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-31 | 2022-12-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-31 | 2022-12-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-31 | 2022-12-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-31 | 2022-12-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-31 | 2022-12-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-31 | 2022-12-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-31 | 2022-12-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-10-31 | 2022-12-30 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-31 | 2022-12-30 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-10-31 | 2022-12-30 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-10-31 | 2022-12-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-31 | 2022-12-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-31 | 2022-12-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-31 | 2022-12-30 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-10-31 | 2022-12-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-31 | 2022-12-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-10-31 | 2022-12-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-31 | 2022-12-30 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-31 | 2022-12-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-31 | 2022-12-30 | 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 | 2022-10-31 | 2022-12-30 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-10-31 | 2022-12-30 | Y |
| Keep complete, dated laboratory records in the resident's record. | Health | 2022-10-31 | 2022-12-30 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-10-31 | 2022-12-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-31 | 2022-12-30 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-10-31 | 2022-12-30 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-10-31 | 2022-12-30 | 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 and emergencies. | Health | 2022-10-31 | 2022-12-30 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2022-10-31 | 2022-12-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-31 | 2022-12-30 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-31 | 2022-12-30 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-31 | 2022-12-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-31 | 2022-12-30 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-10-31 | 2022-12-30 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-10-31 | 2022-12-30 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-10-31 | 2022-12-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-10-31 | 2022-12-30 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-10-13 | 2022-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-13 | 2022-11-30 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-13 | 2022-11-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-01 | 2021-10-15 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2021-09-01 | 2021-10-15 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-09-01 | 2021-10-15 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-09-01 | 2021-10-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-09-01 | 2021-10-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-09-01 | 2021-10-15 | 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 | 2021-09-01 | 2021-10-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-01 | 2021-10-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-01 | 2021-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-01 | 2021-10-15 | 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 | 2021-09-01 | 2021-10-15 | N |
| Provide activities to meet all resident's needs. | Health | 2021-09-01 | 2021-10-15 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-09-01 | 2021-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-01 | 2021-10-15 | N |
| Provide appropriate foot care. | Health | 2021-09-01 | 2021-10-15 | N |
| 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 | 2021-09-01 | 2021-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-01 | 2021-10-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-01 | 2021-10-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-01 | 2021-10-15 | N |
| Post nurse staffing information every day. | Health | 2021-09-01 | 2021-10-15 | 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 | 2021-09-01 | 2021-10-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-01 | 2021-10-15 | 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 | 2021-09-01 | 2021-10-15 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2021-09-01 | 2021-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-01 | 2021-10-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-01 | 2021-10-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-09-01 | 2021-10-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-09-01 | 2021-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-01 | 2021-10-15 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-09-01 | 2021-10-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-31 | 2021-10-15 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-31 | 2021-10-15 | 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 | 2021-08-31 | 2021-10-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-31 | 2021-10-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-09 | 2021-07-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-09 | 2021-07-28 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-06-09 | 2021-07-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-09 | 2021-07-28 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-06-24 | 2019-08-30 | 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 | 2019-06-24 | 2019-08-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-24 | 2019-08-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-24 | 2019-08-30 | N |
| Provide appropriate foot care. | Health | 2019-06-24 | 2019-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-24 | 2019-08-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-06-24 | 2019-08-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-24 | 2019-08-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-24 | 2019-08-30 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-06-24 | 2019-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-24 | 2019-08-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-24 | 2019-08-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-24 | 2019-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-24 | 2019-08-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-06-24 | 2019-08-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-24 | 2019-08-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-06-24 | 2019-08-16 | 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 | 2019-06-24 | 2019-08-16 | 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 | 2019-06-24 | 2019-08-16 | 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 | 2019-06-24 | 2019-08-16 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-06-24 | 2019-08-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-24 | 2019-08-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-06-24 | 2019-08-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-06-24 | 2019-08-16 | N |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2019-06-24 | 2019-08-10 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2019-06-24 | 2019-08-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-24 | 2019-08-10 | 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 | 2019-06-24 | 2019-08-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-24 | 2019-08-10 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-24 | 2019-08-10 | N |
| 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 | 2019-06-18 | 2019-08-02 | 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 | 2019-06-18 | 2019-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
