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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 |
| 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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