Meridian Care Monte Vista

In the surveyor’s words

From the most serious findings on record at Meridian Care Monte Vista, in the surveyor’s own words.

• Immediate jeopardy, isolatedF578Mar 20, 2026

  Based on interviews and record reviews, the facility failed to ensure residents the right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive for 1 of 10 (Resident #1) reviewed for advance directives. The facility failed to honor Resident #1's Out-of-Hospital Do Not Resuscitate (OOH DNR) when on [DATE] the resident was found unresponsive and was resuscitated after respirations and pulse ceased. The non-compliance was identified as PNC. The Immediate Jeopardy (IJ) began on [DATE] and ended on [DATE]. The facility corrected the non-compliance before the survey began on [DATE]. […]

• Immediate jeopardy, isolatedF678Aug 3, 2025

  Based on interview and record review the facility personnel failed to provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 of 6 residents (Resident #1) whose records were reviewed for code status. Facility staff failed to follow emergency protocol, did not obtain an AED, did not obtain the crash cart, or continue CPR until EMS arrived after Resident #1, and who had a Full Code in place, was found unresponsive with no pulse or respirations. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 9:11 p.m. […]

• No harm, potential for more than minimal, widespreadF921Nov 25, 2025

  Based on observations, record reviews, and interviews, the facility failed to correct impairments during the inspection for 1 of 1 Fire Alarm System, inspected for regulatory requirements, failed to ensure outside areas, were maintained in good condition and kept free of conditions which constituted a fire or health hazard and failed to ensure the Emergency Preparedness Plan had been evaluated and updated annually. The Emergency Preparedness Plan was not updated at least annually. The Fire Alarm Control Panel was impaired indicating a low battery trouble signal. There were multiple trees on the back side of the facility leaning up against the roof which could constitute a fire hazard. […]

• No harm, potential for more than minimal, patternF580May 20, 2026

  Based on interview and record review the facility failed to immediately consult with the resident's physician and notify, consistent with his or her authority, the resident representative when there is a significant change in the resident's physical, mental, or psychosocial status for 1 of 1 resident (Resident #1) reviewed for medication administration, in that: The facility failed to ensure the physician and RP were notified of missed doses of Rifaximin 550mg for hepatic encephalopathy between 04/27/2026 and 05/16/2026 due to medication not being available. This failure puts the resident at risk for not receiving therapeutic effects from their medications. […]

• No harm, potential for more than minimal, patternF755May 20, 2026

  Based on interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administration of all drugs and biologicals) for 1 of 1 resident (Resident #1) to meet the needs of the resident, in that: The facility failed to ensure Resident #1 received ordered medication Rifaximin 550mg for hepatic encephalopathy between 04/27/2026 - 05/16/2026 due to medication being unavailable. This failure could place residents at risk for not receiving therapeutic effects from their medications. […]