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Deficiency Records for Mountain Vista Health Center
A list of the most recent deficiencies for Mountain Vista Health Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Mountain Vista Health 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? |
|---|---|---|---|---|
| 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 | 2024-04-11 | 2024-05-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-11 | 2024-05-19 | 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 | 2024-04-11 | 2024-05-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-11 | 2024-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-11 | 2024-05-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-11 | 2024-05-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-11 | 2024-05-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-11 | 2024-05-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-11 | 2024-05-19 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-04-11 | 2024-05-19 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-03-20 | 2024-04-17 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-03-20 | 2024-04-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-03-20 | 2024-04-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-20 | 2024-04-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-20 | 2024-04-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-20 | 2024-04-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-20 | 2024-04-17 | N |
| Keep all essential equipment working safely. | Health | 2024-03-20 | 2024-04-17 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-03-20 | 2024-04-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-20 | 2024-04-17 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-03-20 | 2024-04-17 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-03-20 | 2024-04-17 | 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 | 2024-03-20 | 2024-04-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-20 | 2024-04-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-20 | 2024-04-17 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-03-20 | 2024-04-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-20 | 2024-04-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-01 | 2023-11-22 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-25 | 2023-10-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-03 | 2023-02-27 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-01-03 | 2023-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-03 | 2023-01-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-03 | 2023-01-25 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-08 | 2023-01-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-08 | 2023-01-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-08 | 2023-01-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-08 | 2023-01-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-08 | 2023-01-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-08 | 2023-01-16 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-30 | 2022-08-28 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-06-30 | 2022-08-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-30 | 2022-07-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-30 | 2022-07-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-30 | 2022-07-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-23 | 2022-04-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-23 | 2022-04-18 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-12 | 2021-11-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-12 | 2021-11-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-12 | 2021-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-12 | 2021-11-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-12 | 2021-11-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-12 | 2021-11-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-12 | 2021-11-05 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2021-10-12 | 2021-11-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-12 | 2021-10-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-12 | 2021-10-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-12 | 2021-10-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-10-12 | 2021-10-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-13 | 2021-10-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-13 | 2021-10-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-09-13 | 2021-10-13 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-13 | 2021-10-13 | N |
| 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 | 2021-09-13 | 2021-10-13 | 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 | 2021-09-13 | 2021-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-13 | 2021-10-12 | N |
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