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Deficiency Records for Monte Vista Hills Healthcare Center
A list of the most recent deficiencies for Monte Vista Hills Healthcare 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 Monte Vista Hills Healthcare 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? |
|---|---|---|---|---|
| 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 | 2024-07-26 | 2024-08-30 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-07-26 | 2024-08-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-26 | 2024-08-30 | Y |
| 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 | 2024-07-26 | 2024-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-26 | 2024-08-30 | Y |
| 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 | 2024-07-26 | 2024-08-30 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-07-26 | 2024-08-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-26 | 2024-08-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-26 | 2024-08-30 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Meet other general requirements. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-29 | 2019-03-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-05-04 | 2018-05-25 | 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 | 2018-05-04 | 2018-05-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-04 | 2018-05-25 | 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 | 2018-05-04 | 2018-05-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-04 | 2018-05-25 | 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 | 2018-05-04 | 2018-05-25 | 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 | 2018-05-04 | 2018-05-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-04 | 2018-05-25 | 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 | 2018-05-04 | 2018-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-04 | 2018-05-25 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-12-19 | 2018-02-06 | N |
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