Deficiency Records for Mountain View Rehabilitation and Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Mountain View Rehabilitation and Care 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-22 | 2024-01-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-22 | 2024-01-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-22 | 2024-01-04 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-11-22 | 2024-01-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-22 | 2024-01-04 | 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 | 2023-11-22 | 2024-01-04 | 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 | 2023-11-22 | 2024-01-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-22 | 2024-01-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-22 | 2024-01-04 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-11-22 | 2024-01-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-11-27 | 2024-01-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-11-27 | 2024-01-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-27 | 2024-01-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-11-27 | 2024-01-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-27 | 2024-01-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-27 | 2024-01-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-27 | 2024-01-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-27 | 2024-01-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-27 | 2024-01-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-27 | 2024-01-01 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-07-31 | 2023-09-08 | 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 | 2023-07-31 | 2023-09-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-31 | 2023-09-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-27 | 2023-02-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-09 | 2022-12-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-25 | 2022-06-08 | 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 | 2022-04-23 | 2022-05-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-23 | 2022-05-25 | 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 | 2022-04-23 | 2022-05-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-23 | 2022-05-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-23 | 2022-05-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-23 | 2022-05-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-23 | 2022-05-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-23 | 2022-05-25 | N |
| 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 | 2022-04-23 | 2022-05-25 | 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 | 2022-04-23 | 2022-05-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-23 | 2022-05-25 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-04-23 | 2022-05-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-23 | 2022-05-25 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-23 | 2022-05-25 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-04-23 | 2022-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-23 | 2022-05-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-20 | 2022-05-10 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-04-04 | 2022-05-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-04 | 2022-05-04 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-04 | 2022-05-04 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-04 | 2022-05-04 | 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 | 2022-04-04 | 2022-05-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-02-22 | 2022-03-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-07 | 2022-02-01 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-01-07 | 2022-02-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-03 | 2021-09-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-03 | 2021-09-28 | 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 | 2021-09-03 | 2021-09-28 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-07-22 | 2021-08-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-22 | 2021-08-12 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-06-18 | 2021-07-14 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-06-18 | 2021-07-14 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-18 | 2021-07-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-18 | 2021-07-14 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-09-13 | 2019-10-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-13 | 2019-10-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-13 | 2019-10-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-13 | 2019-10-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-13 | 2019-10-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-13 | 2019-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-13 | 2019-10-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-13 | 2019-10-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-13 | 2019-10-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-13 | 2019-10-22 | 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 | 2019-09-13 | 2019-10-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-13 | 2019-10-22 | 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 | 2019-09-13 | 2019-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-13 | 2019-10-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-13 | 2019-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-13 | 2019-10-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-09-13 | 2019-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-09 | 2019-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-09 | 2019-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-09 | 2019-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-09 | 2019-10-04 | N |
