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Deficiency Records for Mountain Villa Nursing Center
View the most recent health deficiencies and inspection results for Mountain Villa Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mountain Villa Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-12-04 | 2025-12-30 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-12-04 | 2025-12-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-04 | 2025-12-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-04 | 2025-12-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-20 | 2025-04-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-11-18 | 2024-11-30 | Y |
| 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 | 2024-09-12 | 2024-10-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-12 | 2024-10-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-12 | 2024-10-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-12 | 2024-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-12 | 2024-10-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-09-12 | 2024-10-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-12 | 2024-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-12 | 2024-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-12 | 2024-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-12 | 2024-10-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-12 | 2024-10-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-12 | 2024-10-11 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-09-12 | 2024-10-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-09 | 2023-09-30 | N |
| Dispose of garbage and refuse properly. | Health | 2023-08-09 | 2023-09-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-09 | 2023-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-09 | 2023-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-09 | 2023-09-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-09 | 2023-09-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-09 | 2023-09-30 | N |
| Post nurse staffing information every day. | Health | 2023-08-09 | 2023-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-09 | 2023-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-09 | 2023-09-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-04 | Not Fixed | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Develop a communication plan. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Meet other general requirements that are deficient. | Fire Safety | 2025-12-04 | Not Fixed | 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 | 2025-12-04 | Not Fixed | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-12-04 | Not Fixed | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-04 | Not Fixed | N |