Monte Vista Hills Healthcare Center

In the surveyor’s words

From the most serious findings on record at Monte Vista Hills Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Jul 26, 2024

  Based on interview and record review, the facility failed to employ a qualified director of food and nutrition services. This deficient practice had the potential to affect 61 of 62 residents who received meals prepared in the facility's kitchen. Findings include: A printout of the Dietary Manager certification training program stated the Dietary Supervisor (DS) had completed 34% of the course since it was started 1/4/24. On 7/23/24 at 4:06 PM, the DS was asked if she was certified as a Dietary Manager. She stated she was not, but she had been working as the Dietary Manager at the facility since April of 2023. The DS stated she had ten years of food service experience in restaurants but none in healthcare. […]

• No harm, potential for more than minimal, widespreadF812Jul 26, 2024

  Based on observation, interview, policy review, and review of the Idaho and FDA Food Codes, the facility failed to appropriately store, distribute, and label foods; clean ovens; and perform appropriate hand hygiene. This deficient practice had the potential to affect 61 of 62 residents who received meals prepared in the facility's kitchen. Findings include: 1. The Idaho Food Code, revised February 2021, stated ,d+[DATE].17 Ready-to-Eat, Time/Temperature Control for Safety Food, Date Marking . […]

• No harm, potential for more than minimal, patternF684Dec 17, 2025

  Based on the facility bowel care standing orders, record review, and staff interview, it was determined the facility failed to follow facility bowel care standing order of delivering specific medications when residents do not have BM within 72 hours for 5 of 14 residents (#6, #11, #20, #24, and #57) who records were reviewed for bowel and bladder care. This failed practice created the potential for residents to experience discomfort when medications were not administered according to the physician's order. Findings include:The facility's Provider's Standing Orders-PRN documented the following:- When using standing PRN orders, please place end date no longer than 3 days. […]

• No harm, potential for more than minimal, patternF622Jul 26, 2024

  Based on policy review, record review, and staff interview, it was determined the facility failed to ensure continuity of care by not providing pertinent health information to the receiving hospital. This was true for 4 of 6 residents (#19, #33, #34, and #55) reviewed for transfers. This deficient practice had the potential to result in adverse outcomes if residents were not treated in a timely manner due to the lack of information provided upon transfer. Findings include: The facility's Criteria for Transfer and Discharge policy, dated December 2023, documented, information provided to the receiving provider must include a minimum of the following: a. Contact information of the practitioner responsible for the care of the resident. b. […]

• No harm, potential for more than minimal, patternF761Jul 26, 2024

  Based on observation, policy review, and staff interview, it was determined the facility failed to secure and label unidentified loose pills in 1 of 1 medication cart (North side medication cart), audited for labeling and storage of medication. This failure created the potential for residents to miss doses of medication. Findings include: The facility's Medication Access and Storage policy, revision date May 2023, documented: - The provider pharmacy dispenses medications in containers that meet legal requirements, including requirements of good manufacturing practices where applicable. […]