Deficiency Records for Mountain Villa Nursing Center
Updated as of March 01, 2023
This is not the most recent data for Mountain Villa Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Mountain Villa Nursing Center. 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 implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-30 | 2022-08-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-30 | 2022-08-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-30 | 2022-08-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-30 | 2022-08-01 | 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 | 2022-06-30 | 2022-08-01 | 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 | 2022-06-30 | 2022-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-26 | 2022-02-22 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-17 | 2021-05-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-03-10 | 2021-04-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-10 | 2021-04-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-10 | 2021-04-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-10 | 2021-04-10 | 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 | 2021-03-10 | 2021-04-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-03-10 | 2021-04-10 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-03-10 | 2021-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-10 | 2021-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-17 | 2021-04-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-21 | 2021-03-23 | Y |
| 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 | 2020-11-25 | 2020-12-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-25 | 2020-12-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-11 | 2019-08-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-11 | 2019-08-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-07-11 | 2019-08-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-07-11 | 2019-08-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-11 | 2019-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-11 | 2019-08-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-11 | 2019-08-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-11 | 2019-08-25 | 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 | 2019-07-11 | 2019-08-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-11 | 2019-08-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-11 | 2019-08-25 | 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 | 2019-07-11 | 2019-08-25 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-07-11 | 2019-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-11 | 2019-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-11 | 2019-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-11 | 2019-08-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-11 | 2019-08-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-11 | 2019-08-25 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2019-07-11 | 2019-08-25 | N |
