Mission View Health Center

In the surveyor’s words

From the most serious findings on record at Mission View Health Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Dec 18, 2025

  Based on observation, interview and record review, the facility failed to ensure foods were kept safe, in good quality, free of contaminants and properly labeled with received and within expiration dates. This failure has the potential for food borne illnesses for the residents. Findings: During the initial tour of the kitchen on 12/16/25 at 7:30 a.m., the following items were observed: A box of strawberries had mold at the bottom of the box; an opened bag of cucumbers, an open bag of carrots and a bag of salad had no label with open and use by dates. During an Interview on 12/16/25 at 7:30 a.m. […]

• No harm, potential for more than minimal, patternF908Dec 2, 2021

  Based on observation, staff interviews and review of facility documents the facility failed to maintain kitchen equipment in safe operating condition when the reach in refrigerator door contained a torn gasket and there was no air gap on the food preparation sink when the pipe was directly plummed into the wall. These failures have the potential for the refrigerator to not maintain a safe temperature for food as a torn gasket can allow warm air to get into the refrigerator and lack of an air gap can lead to a backflow of sewage into the food preparation sink. The facility census was 93. Findings: 1. […]

• No harm, potential for more than minimal, isolatedF726Aug 5, 2025

  Based on interview and record review, the facility failed to ensure that licensed nurses (LNs) demonstrated competency in providing quality care for one of three sampled residents (Resident 1), as evidenced by: 1. LN1 failed to document on the medication administration record (MAR) during the medication pass.2. Medication was found at the bedside for Resident 1. These failures had the potential to result in negative resident outcomes, jeopardizing the quality and safety of resident care.1. During a concurrent interview and record review on 7/23/25, at 1:25 p.m., with the director of nursing (DON), the clinical record for Resident 1 was reviewed and the MAR indicated, Lisinopril 10 mg tablet (medication for high blood pressure) was scheduled to be administered on 7/13/25 at 8:00 p.m. […]

• No harm, potential for more than minimal, isolatedF880Oct 10, 2024

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure staff wore eye protection when they entered the room who was on droplet precaution for 1 (Resident #43) of 4 sampled residents reviewed for infection control. Findings included: A facility policy titled, Infection Prevention and Control for Residents with Suspected or Confirmed SARS-COV-2 [severe acute respiratory syndrome coronavirus 2], with a copyright date of 2021, revealed Personal Protective Equipment 13. […]

• No harm, potential for more than minimal, isolatedF641Dec 2, 2021

  Based on observation, interview and record review the facility failed to ensure documentation on the Minimum Data Set (MDS-a comprehensive assessment tool used to identify and manage resident health status and needs every three months and annually) accurately reflected a weight loss of 15 pounds (10.9%) in 6 months in one resident (Resident 68). This facility failure resulted to Resident 68 from receiving an accurate reflection of a decline in health and had the potential to prevent the provision of needed health interventions. Findings: During a lunch dining observation on 11/29 at 1:10 pm, and concurrent review of Resident 68's lunch tray ticket showed the resident was on SB6 Fort (Small & bite sized fortified) diet and a house supplement. […]