CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Mountains Community Hosp Dp/snf
View the most recent health deficiencies and inspection results for Mountains Community Hosp Dp/snf. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mountains Community Hosp Dp/snf. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2025-06-05 | 2025-07-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-05 | 2025-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-05 | 2025-07-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-05 | 2025-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-05 | 2025-07-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-06-05 | 2025-07-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-05 | 2025-06-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-05 | 2025-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-05 | 2025-06-18 | N |
| Use approved construction type or materials. | Fire Safety | 2025-06-05 | 2025-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-29 | 2024-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-29 | 2024-04-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-29 | 2024-04-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-29 | 2024-04-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-29 | 2024-04-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-29 | 2024-04-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-29 | 2024-04-29 | 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 | 2024-03-29 | 2024-04-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-03-29 | 2024-04-29 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-03-29 | 2024-04-29 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-03-29 | 2024-04-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-04-20 | 2023-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-20 | 2023-05-23 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2023-04-20 | 2023-05-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-20 | 2023-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-20 | 2023-05-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-20 | 2023-05-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-04-20 | 2023-05-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-20 | 2023-05-23 | N |
| Use approved construction type or materials. | Fire Safety | 2023-04-20 | 2023-05-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-04-20 | 2023-05-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-04-20 | 2023-05-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-20 | 2023-05-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-04-20 | 2023-05-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-20 | 2023-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-20 | 2023-05-19 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-20 | 2023-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-20 | 2023-05-19 | N |