Mountain View Community

In the surveyor’s words

From the most serious findings on record at Mountain View Community, in the surveyor’s own words.

• Immediate jeopardy, isolatedF880Apr 10, 2023

  Based on interview and record review, it was determined that the facility failed to follow the return to work guidelines for health care personnel who were positive for COVID-19 illness from working in the facility. 1 of 13 staff reviewed for COVID-19 infection returned to work the day after they tested positive for COVID-19. 12 of 13 staff reviewed for COVID-19 infection returned to work on day 4 or later. This failure increased the likelihood of exposure to pathogens for the facility's census of 87 residents, staff, and visitors (Staff identifiers are A, M, N, O, P, W, Q, R, S, G, T, U, and V). […]

• No harm, potential for more than minimal, isolatedF583Nov 14, 2025

  Based on interview and record review, it was determined that the facility failed to protect the personal privacy of a resident for 1 of 1 residents reviewed for abuse in a final sample of 21 residents (Resident identifier is #77). Findings include:Interview on 9/2/25 with the complainant revealed that on 8/28/25 a post was made on social media which revealed that a resident was being transferred from the facility to a local hospital. The post mentioned a resident's daughter's name and that Resident #77 had pain and a spinal issue. Someone sent the complainant the post on social media because they had identified that the post referred to the complainant's mother.Interview on 9/23/25 at approximately 11:15 a.m. […]

• No harm, potential for more than minimal, isolatedF658Nov 14, 2025

  Based on interview and record review, it was determined that the facility failed to meet professional standards of care for 1 of 1 resident reviewed for pain management in a final sample of 21 residents (Resident identifier is #4).Findings include:Review on 9/25/25 of [NAME] and [NAME], Fundamentals of Nursing. 10th ed. St. Louis, Missouri: Elsevier, 2021. Page 610-Medication Administration Right Indication .is considering the seventh right of medication administration .Review on 9/23/2025 of Resident #4 physician orders revealed an order dated 4/21/25 for Oxycodone 5 milligrams (mg), Give 1 tablet by mouth every 4 hours as needed for moderate-severe pain.Review on 9/23/25 of Resident #4's August 2025 Medication Administration Record (MAR) revealed on 8/12 Resident #4 received Oxycodone… […]

• No harm, potential for more than minimal, isolatedF761Nov 14, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that expired medications were removed from use for 1 of 2 medication carts observed. (Resident identifier is #97).Findings include:Observation on 9/23/2025 at approximately 9:00 a.m. of the Mount [NAME] medication cart with Staff A (Medication Nursing Assistant) revealed Resident #97's Tramadol 50 mg (milligrams) medication card with a pharmacy expiration date of 7/30/25.Review on 9/23/25 of the narcotic administration book revealed he/she had received one Tramadol on 8/4/25.Interview on 9/23/25 at approximately 9:00 a.m. with Staff A confirmed the above medication was administered to Resident #97 on 8/3/25, and it had expired on 7/30/25.

• No harm, potential for more than minimal, isolatedF758Sep 12, 2024

  Based on interview and record review, it was determined that the facility failed to ensure residents receiving antipsychotic medications had appropriately identified behaviors for the continued use of antipsychotic medications for 2 of 5 residents reviewed for unnecessary medications in a final survey sample of 20 residents. (Resident identifiers are #61 and #86). Findings include: Review on 9/12/24 of the facility's policy titled, Medication - Psychoactive, last revised 1/31/20, revealed: .1. The attending physician or consulting psychiatrist will do a comprehensive assessment of a resident according to OBRA requirements for dose reduction. […]