Mountain Meadows Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Mountain Meadows Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804May 8, 2024

  Based on observation, interview, and record review, the facility failed to ensure that residents receive a diet that meets their nutritional needs, is visually pleasing, prepared in a manner to maintain nutritional content and taste to encourage consumption and maintenance of good nutrition and hydration status. The findings are: 1. Resident #25 had a diagnosis of unspecified dementia. a. Review of the Minimum Date Set (MDS) with an Assessment Reference Date (ARD) of 02/28/2024 revealed Resident #25 received a score of 14 (13-15 indicates cognitively intact) on the Brief Interview for Mental Status. Resident #25 required set up only for eating as they were capable of eating independently. a. On 05/05/2024 at 12:33 PM, Resident # 25 is observed with their lunch meal. […]

• No harm, potential for more than minimal, widespreadF812May 8, 2024

  Based on observation and interview the facility failed to ensure food was used prior to the use by date. The findings are: On 05/05/2024 at 10:30 AM, the following items were observed in what is referred to as the cook's refrigerator, all of which had a use by date of or before 05/04/2024: 1. 1/4 steam table pan of sliced ham 2. 1/4 steam table pan of macaroni and tomatoes. 3. 1/2 gallon container 1/2 full of stewed tomatoes. 4. 1/4 steam table pan of mechanical soft ham. 5. 1/4 quarter steam table pan of mechanical soft meatballs. 6. A plastic container of pizza sauce, 1/3 full. […]

• No harm, potential for more than minimal, widespreadF812Apr 6, 2023

  Based on observation, and interview, the facility failed to ensure dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect all 91 residents who received meals from the kitchen (Total Census: 91) as documented on the Midnight Census report provided by the Administrator on 04/03/23 at 3:07 PM. The findings are: 1. On 04/04/23 at 9:38 AM, Dietary Employee (DE) #1 opened the refrigerator door and removed pitchers of orange juice and tea and a bottle of cranberry juice and placed them on the counter. Without washing her hands, she picked up glasses by the rims and placed them on the counter. […]

• No harm, potential for more than minimal, patternF812Aug 13, 2025

  Number of residents sampled: Number of residents cited: [NAME] Based on observation, interview, and facility policy review, the facility failed to ensure food items stored in the freezer were covered or sealed, and staff washed their hands between dirty and clean tasks and before handling clean equipment for 3 of 3 meals observed. The findings include: During an observation and interview on 08/10/2025 at 10:34 AM, Dietary Aide (DA) #1 turned on the hand washing sink faucet and washed her hands. After washing her hands, DA # 1 turned off the faucet with her bare hands, which contaminated her hands. Without rewashing her hands, DA #1 placed gloves on her hands, contaminating the gloves. […]

• No harm, potential for more than minimal, patternF677May 8, 2024

  Based on observation, record review, and interview, the facility failed to ensure residents' fingernails were kept clean for 01 (Residents #08) of 01 sample mix residents; that residents were showered on scheduled shower days for 01 (Resident #81) of 01 sample mix resident; and that male residents were shaved to promote good personal hygiene for 02 (Resident R #81, #08) of 02 sample mix resident. The findings are: 1. Review of a Care Plan for Resident #81 dated 12/28/2023 revealed, .The resident has an ADL (activities of daily living) self-care performance deficit r/t (related to) dementia, debility, weakness, UTI (urinary tract infection) . Personal Hygiene/ Oral Care: The resident is able to: set up assist .Bathing/ Showering: The resident is able to: set-up assist . a. […]