A list of the most recent deficiencies for Mountains Community Hosp Dpsnf. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-04 | 2023-05-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-05-04 | 2023-05-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-05-04 | 2023-05-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-05-04 | 2023-05-23 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-04 | 2023-05-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-04 | 2023-05-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-05-04 | 2023-05-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-04 | 2023-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-04 | 2023-05-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-04 | 2023-05-23 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2023-05-04 | 2023-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-04 | 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 |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-11-07 | 2019-12-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-11-07 | 2019-12-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-11-07 | 2019-12-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-07 | 2019-12-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-07 | 2019-12-16 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-10-25 | 2019-11-21 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-10-25 | 2019-11-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-25 | 2019-11-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-25 | 2019-11-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-25 | 2019-11-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-11 | 2019-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-11 | 2019-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-11 | 2019-02-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-25 | 2018-11-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-25 | 2018-11-15 | N |
