Mountain View Conv Hosp

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Sep 14, 2023

  Based on observation, interview, and record review, the facility failed to ensure one of five sampled residents (Resident 1) was free from sexual abuse inflicted by Registered Nurse 1 (RN 1). On 5/20/2023 starting at 10:33 p.m., Resident 1, who was unable to communicate needs, was totally dependent on staff for care, and was unable to make decisions or consent to sexual activities, was recorded by a hidden, motion-activated video camera placed by Family Member 1 (FM 1) in front of the foot part of the bed, when RN 1 came to Resident 1's left side of the bed. RN 1 was observed lifting Resident 1's blanket covering the left foot, grasped his genital from his scrub pants (medical uniform with drawstring and/or elastic waists), and proceeded to rub his genital on the resident's left foot. […]

• Immediate jeopardy, isolatedF678Aug 8, 2022

  Based on interview and record review, the facility failed to provide cardiopulmonary resuscitation (CPR - refers to any medical intervention used to restore circulatory [the system that moves blood throughout the body] and/or respiratory [breathing in and out] function that has stopped) to one of four sampled residents (Resident 4). Resident 4 ' s Advance Directive (a legally and ethically binding document used by people to state that their medical and end-of-life treatment decisions will be made by someone on their behalf when they become severely ill) Acknowledgment form, signed on [DATE], which was the most current and updated document, indicated Resident 4 was a full code (if a person ' s heart stopped beating or they stopped breathing, all resuscitation procedures will be provided to… […]

• Immediate jeopardy, isolatedF600Jul 5, 2022

  Based on observation, interview, and record review, the facility failed to ensure one of eight sampled residents (Resident 1), who was dependent on staff for all activities of daily living (ADLs, such as dressing, personal hygiene, and incontinent care), was in persistent vegetative status (showing no signs of awareness related to [CONDITION(S)]), and was dependent on a ventilator (a mechanical breathing machine to provide oxygen [a chemical element found in the air as a colorless odorless tasteless gas that is necessary for life) to the body when the person is unable to breath on his/her own), was free from neglect (the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or… […]

• Immediate jeopardy, isolatedF695Jul 5, 2022

  Based on observation, interview, and record review, the facility failed to provide the necessary care and services in accordance with its policy and procedures and professional standards of practice for one of eight sampled residents (Resident 1). The facility failed to: 1) Provide care to Resident 1 ' s [CONDITION(S)] (a surgical hole [stoma] created at the front of the neck so a tube can be inserted into the windpipe to assist in breathing); 2) Implement care plan interventions to cleanse Resident 1 ' s stoma site; and 3) Accurately assess and document Resident 1 ' s [CONDITION(S)] condition. […]

• Immediate jeopardy, isolatedF880Jul 5, 2022

  Based on observation, interview, and record review, the facility failed to ensure one of eight sampled residents (Resident 1), who was dependent on staff for all activities of daily living (ADLs, such as dressing, personal hygiene, and incontinent care), was in persistent vegetative status (showing no signs of awareness related to [CONDITION(S)]), and was dependent on a ventilator (a mechanical breathing machine to provide oxygen [a chemical element found in the air as a colorless odorless tasteless gas that is necessary for life) to the body when the person is unable to breath on his/her own), was free from neglect (the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or… […]