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Deficiency Records for Mountain View Post Acute
A list of the most recent deficiencies for Mountain View Post Acute. 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 View Post Acute. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-05 | 2024-02-23 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-15 | 2024-02-15 | 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 | 2023-12-15 | 2024-01-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-15 | 2024-01-12 | 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 | 2023-12-15 | 2024-01-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-15 | 2024-01-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-15 | 2024-01-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-15 | 2024-01-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-16 | 2023-12-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-16 | 2023-12-15 | 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 | 2023-11-16 | 2023-12-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-16 | 2023-12-15 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-16 | 2023-12-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-11-16 | 2023-12-15 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-16 | 2023-12-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-16 | 2023-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-16 | 2023-12-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-16 | 2023-12-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-16 | 2023-12-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-11-16 | 2023-12-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-16 | 2023-12-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-11-16 | 2023-12-15 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-11-16 | 2023-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-11-16 | 2023-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-16 | 2023-12-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-16 | 2023-12-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-16 | 2023-12-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-11-16 | 2023-12-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-16 | 2023-12-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-16 | 2023-12-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-27 | 2023-10-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-27 | 2023-10-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-27 | 2023-10-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-27 | 2023-10-27 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-09-27 | 2023-10-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-27 | 2023-10-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-27 | 2023-10-27 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-09-27 | 2023-10-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-27 | 2023-10-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-02 | 2023-04-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-02 | 2023-04-02 | Y |
| 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 | 2023-03-02 | 2023-04-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-01-27 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-17 | 2022-10-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-17 | 2022-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-17 | 2022-10-26 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-08-17 | 2022-10-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-17 | 2022-10-26 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-08-17 | 2022-09-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-17 | 2022-09-17 | 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 | 2022-08-17 | 2022-09-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-17 | 2022-09-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-17 | 2022-09-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-17 | 2022-09-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-08-17 | 2022-09-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-17 | 2022-09-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-17 | 2022-09-17 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-08-17 | 2022-09-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-17 | 2022-09-17 | 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 | 2022-07-28 | 2022-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-28 | 2022-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-28 | 2022-08-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-07-28 | 2022-08-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-28 | 2022-08-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-28 | 2022-08-28 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-07-28 | 2022-08-28 | 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 | 2022-07-28 | 2022-08-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-25 | 2022-06-25 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-05-25 | 2022-06-25 | 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 | 2022-01-26 | 2022-02-26 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-01-26 | 2022-02-26 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-01-08 | 2020-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-08 | 2020-07-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-18 | 2020-02-19 | 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 | 2019-12-18 | 2020-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-18 | 2020-01-24 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-12-18 | 2020-01-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-01-08 | 2020-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-08 | 2020-01-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-18 | 2020-01-14 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-12-18 | 2020-01-14 | 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 | 2019-12-18 | 2020-01-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-18 | 2020-01-14 | N |
| Respond appropriately to all alleged violations. | Health | 2019-12-18 | 2020-01-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-18 | 2020-01-14 | N |
| Provide activities to meet all resident's needs. | Health | 2019-12-18 | 2020-01-14 | 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 | 2019-12-18 | 2020-01-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-18 | 2020-01-14 | 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 | 2019-12-18 | 2020-01-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-18 | 2020-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-18 | 2020-01-14 | N |
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