CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Majestic Mountain Care Center
View the most recent health deficiencies and inspection results for Majestic Mountain Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Majestic Mountain Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-24 | 2026-04-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-24 | 2026-04-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-01-28 | 2026-02-28 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-12-02 | 2025-12-18 | 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 | 2025-10-30 | 2025-12-02 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-09-12 | 2025-12-02 | 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 | 2025-07-24 | 2025-11-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-24 | 2025-10-30 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-07-24 | 2025-10-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-07-24 | 2025-10-30 | 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 | 2025-07-24 | 2025-10-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-07-24 | 2025-10-30 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-07-24 | 2025-10-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-07-24 | 2025-10-30 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-07-24 | 2025-10-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-07-24 | 2025-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-24 | 2025-10-30 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-07-24 | 2025-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-24 | 2025-10-30 | N |
| Keep all essential equipment working safely. | Health | 2025-07-24 | 2025-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-12 | 2025-10-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-09-12 | 2025-10-07 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2025-07-24 | 2025-09-01 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-07-24 | 2025-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-24 | 2025-08-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-07-24 | 2025-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-24 | 2025-08-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-24 | 2025-08-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-24 | 2025-08-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-07-24 | 2025-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-24 | 2025-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-24 | 2025-08-11 | 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 | 2025-07-24 | 2025-08-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-07-24 | 2025-08-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-07-24 | 2025-08-03 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-07-24 | 2025-08-01 | N |
| Develop a communication plan. | Fire Safety | 2025-07-24 | 2025-08-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-07-24 | 2025-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-05 | 2025-07-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-05 | 2025-07-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-12 | 2025-03-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-30 | 2025-02-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-30 | 2025-02-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-15 | 2024-10-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-07 | 2024-09-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-07 | 2024-09-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-07 | 2024-09-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-08-07 | 2024-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-07 | 2024-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-07 | 2024-09-05 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-08-07 | 2024-09-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-07 | 2024-09-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-07 | 2024-09-05 | 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 | 2024-08-07 | 2024-09-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-08-07 | 2024-09-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-08-07 | 2024-09-05 | 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 | 2024-08-07 | 2024-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-07 | 2024-08-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-07 | 2024-08-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-07 | 2024-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-07 | 2024-08-29 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-08-07 | 2024-08-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-07 | 2024-08-29 | 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 | 2024-08-07 | 2024-08-29 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-08-07 | 2024-08-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-07 | 2024-08-29 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-07 | 2024-08-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-07 | 2024-08-29 | 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 | 2024-08-07 | 2024-08-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-15 | 2024-07-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-06 | 2024-05-17 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-03-01 | 2024-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-01 | 2024-03-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-29 | 2024-01-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-13 | 2023-11-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-13 | 2023-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-13 | 2023-11-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-09 | 2023-09-01 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-09 | 2023-09-01 | Y |
| Keep all essential equipment working safely. | Health | 2019-08-30 | 2019-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-30 | 2019-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-30 | 2019-11-22 | 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 | 2019-08-30 | 2019-11-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-30 | 2019-11-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-30 | 2019-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-30 | 2019-11-22 | 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 | 2019-08-30 | 2019-11-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-30 | 2019-11-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-08-30 | 2019-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-30 | 2019-10-28 | 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 | 2019-08-30 | 2019-10-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-08-30 | 2019-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-28 | Not Fixed | Y |