CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Mountain Manor Senior Residence
View the most recent health deficiencies and inspection results for Mountain Manor Senior Residence. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mountain Manor Senior Residence. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-03-10 | 2026-04-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-26 | 2025-09-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-16 | 2025-08-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-07-16 | 2025-08-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-16 | 2025-08-07 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-04-24 | 2025-05-22 | 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 | 2025-04-24 | 2025-05-22 | N |
| 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 | 2025-04-24 | 2025-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-24 | 2025-05-22 | 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 | 2025-04-24 | 2025-05-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-24 | 2025-05-22 | N |
| Use approved construction type or materials. | Fire Safety | 2025-04-24 | 2025-05-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-24 | 2025-05-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-24 | 2025-05-22 | 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 | 2025-04-24 | 2025-05-22 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-04-24 | 2025-05-22 | 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 | 2025-04-24 | 2025-05-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-24 | 2025-05-22 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-04-24 | 2025-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-24 | 2025-05-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-04-24 | 2025-05-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-04-24 | 2025-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-30 | 2024-12-05 | Y |
| 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 | 2024-08-06 | 2024-08-14 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2024-06-06 | 2024-07-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-06 | 2024-07-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-06 | 2024-07-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-06 | 2024-07-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-06 | 2024-07-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-06 | 2024-07-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-06 | 2024-07-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-06-06 | 2024-07-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-06 | 2024-07-02 | 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 | 2024-06-06 | 2024-07-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-06 | 2024-07-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-06 | 2024-07-02 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-06-06 | 2024-07-02 | N |
| Post nurse staffing information every day. | Health | 2024-06-06 | 2024-07-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-06 | 2024-07-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-06 | 2024-07-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-06 | 2024-07-02 | 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 | 2024-06-06 | 2024-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-06 | 2024-07-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-06-06 | 2024-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-06 | 2024-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-07-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-11 | 2023-06-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-11 | 2023-06-01 | 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 | 2023-05-11 | 2023-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-11 | 2023-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-11 | 2023-06-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-11 | 2023-06-01 | 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 | 2023-05-11 | 2023-06-01 | 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 | 2023-05-11 | 2023-06-01 | 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 | 2023-05-11 | 2023-06-01 | 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 | 2023-05-11 | 2023-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-11 | 2023-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-11 | 2023-06-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-11 | 2023-06-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-11 | 2023-06-01 | 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 | 2023-05-11 | 2023-06-01 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-11 | 2023-06-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-11 | 2023-06-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-05-11 | 2023-06-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-11 | 2023-06-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-11 | 2023-06-01 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-05-11 | 2023-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-11 | 2023-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-11 | 2023-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-11 | 2023-06-01 | N |