Mountain City Care & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Mountain City Care & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF689Oct 19, 2022

  Based on facility policy review, medical record review, and interview the facility failed to prevent a fall for 1 resident (Resident #59) of 3 residents reviewed for falls. The findings include: Review of the facility policy titled, Falls Policy, dated 7/19/2022, revealed .The intent of this policy is to ensure the facility provides an environment that is free from accident hazards over which the facility has control to prevent avoidable falls .Interventions are to be revised as indicated . Resident #59 was admitted to the facility on [DATE], with diagnoses including [CONDITION(S)], [CONDITION(S)], Chronic Kidney Disease, and Muscle Weakness. […]

• No harm, potential for more than minimal, isolatedF609Jun 23, 2022

  Based on review of facility policy, medical record review, review of facility investigation, and interview, the facility failed to report an allegation of abuse to the state agency and other officials in accordance with state law for 1 resident ( Resident #1) of 4 residents reviewed for abuse. The findings include: Review of the facility's Policy titled, Abuse, Neglect and Misappropriation of Property last revised 5/8/19 showed .Allegation of Abuse Means a report, complaint, grievance, statement, incident, or other facts that a reasonable person would understand to mean that abuse .is occurring, has occurred, or .might have occurred .Immediately All alleged violations involving abuse .are reported immediately, but no later than 2 hours after the allegation is made .all allegations and… […]

• No harm, potential for more than minimal, isolatedF600Mar 1, 2022

  Based on review of facility policy, medical record review, review of facility investigation, and interview, the facility failed to prevent abuse for 1 resident (#1) of 4 residents reviewed for abuse. The findings include: Review of the facility's Policy titled, Abuse, Neglect and Misappropriation of Property last revised 5/8/19 showed .willful infliction .Abuse includes .verbal abuse .willful means non-accidental .the individual must have acted deliberately .Allegation of Abuse Means a report, complaint, grievance, statement, incident, or other facts that a reasonable person would understand to mean that abuse .is occurring, has occurred, or plausibly might have occurred . […]

• No harm, potential for more than minimal, isolatedF609Mar 1, 2022

  Based on review of facility policy, medical record review, review of facility investigation, and interview, the facility failed to follow their abuse policy for reporting allegations of abuse immediately and failed to report allegations of abuse to the State Survey Agency within the federally required time frame of 2 hours for 1 resident (Resident #1) of 4 residents reviewed for abuse. The findings include: Review of the facility's Policy titled, Abuse, Neglect and Misappropriation of Property last revised 5/8/19 showed .willful infliction .Abuse includes .verbal abuse .willful means non-accidental .the individual must have acted deliberately .Allegation of Abuse Means a report, complaint, grievance, statement, incident, or other facts that a reasonable person would understand to mean that… […]