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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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-05-17 2024-06-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-17 2024-06-10 Y
Provide and implement an infection prevention and control program. Health 2024-05-17 2024-06-10 Y
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-12-20 2024-03-20 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-12-20 2024-03-20 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-12-21 2024-01-26 N
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 2023-12-21 2024-01-26 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-21 2024-01-26 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-12-21 2024-01-26 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 2023-12-21 2024-01-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-21 2024-01-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-21 2024-01-26 N
Assist a resident in gaining access to vision and hearing services. Health 2023-12-21 2024-01-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-21 2024-01-26 N
Ensure medication error rates are not 5 percent or greater. Health 2023-12-21 2024-01-26 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 2023-12-21 2024-01-26 N
Provide and implement an infection prevention and control program. Health 2023-12-21 2024-01-26 N
List the names and contact information of those in the facility. Fire Safety 2023-12-20 2024-01-12 N
Establish staff and initial training requirements. Fire Safety 2023-12-20 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 2023-12-20 2024-01-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-20 2024-01-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-12-20 2024-01-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-12-20 2024-01-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-20 2024-01-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-12-20 2024-01-12 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-12-20 2024-01-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-12-20 2024-01-12 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-12-20 2024-01-12 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-09-22 2023-10-20 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-09-22 2023-10-20 Y
Respond appropriately to all alleged violations. Health 2023-06-30 2023-07-14 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-11-23 2022-12-19 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-11-23 2022-12-19 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 2022-11-23 2022-12-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-23 2022-12-19 N
Provide enough food/fluids to maintain a resident's health. Health 2022-11-23 2022-12-19 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-11-23 2022-12-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-23 2022-12-19 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2022-11-23 2022-12-19 N
Provide and implement an infection prevention and control program. Health 2022-11-23 2022-12-19 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-11-23 2022-12-19 Y
Respond appropriately to all alleged violations. Health 2022-11-23 2022-12-19 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-11-22 2022-12-16 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2022-11-22 2022-12-16 N
List the names and contact information of those in the facility. Fire Safety 2022-11-22 2022-12-16 N
Provide emergency officials' contact information. Fire Safety 2022-11-22 2022-12-16 N
Establish emergency prep training and testing. Fire Safety 2022-11-22 2022-12-16 N
Establish staff and initial training requirements. Fire Safety 2022-11-22 2022-12-16 N
Conduct testing and exercise requirements. Fire Safety 2022-11-22 2022-12-16 N
Meet other general requirements. Fire Safety 2022-11-22 2022-12-16 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 2022-11-22 2022-12-16 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-11-22 2022-12-16 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2022-11-22 2022-12-16 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 2022-11-22 2022-12-16 N
Provide properly protected cooking facilities. Fire Safety 2022-11-22 2022-12-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-11-22 2022-12-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-22 2022-12-16 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-11-22 2022-12-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-11-22 2022-12-16 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-11-22 2022-12-16 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-11-22 2022-12-16 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-11-22 2022-12-16 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-11-22 2022-12-16 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-11-22 2022-12-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-22 2022-12-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-11-22 2022-12-16 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2022-11-22 2022-12-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-10 2022-06-03 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-05-10 2022-06-03 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-10-13 2021-10-19 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-12-17 2020-01-16 N
Provide enough food/fluids to maintain a resident's health. Health 2019-12-17 2020-01-16 N
Post nurse staffing information every day. Health 2019-12-17 2020-01-16 N
Provide and implement an infection prevention and control program. Health 2019-12-17 2020-01-16 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-12-12 2020-01-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-12-12 2019-12-31 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-12-12 2019-12-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-12-12 2019-12-31 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2019-12-12 2019-12-31 N

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