Mountain View Health Services

In the surveyor’s words

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

• Immediate jeopardy, patternF880Jan 8, 2026

  Based on observation, interview, and record review it was determined, for 13 of 24 sampled residents, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, the facility failed to sanitize the blood glucose meters according to manufacturer requirements. This was determined to have resulted at an immediate jeopardy level. In addition, the facility had not updated their COVID-19 policy and procedures according to the latest guideline. Resident identifier: 1, 3, 6, 10, 11, 13, 14, 16, 22, 24, 35, 36 and 43. […]

• Immediate jeopardy, patternF609Oct 31, 2022

  Based on observation, interview and record review it was determined, for 8 of 33 sampled residents, that in response to an allegation of abuse the facility did not report immediately, but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse. In addition, the facility did not report the results of the investigation within 5 working days of the incident and if the alleged violation was verified appropriate corrective action was taken. Specifically, the facility did not report within 2 hours when a resident was found with another resident without clothing, the resident was found without clothing, and the same resident was found being touched in the genitals by another resident. […]

• Immediate jeopardy, patternF610Oct 31, 2022

  Based on observation, interview and record review it was determined, for 8 of 33 sampled residents, that in response to allegation of abuse, the facility did not have evidence that all all leeged violation were thoroughly investigated and reported to the State Survey Agency within 5 days of the incident, and if the alleged violations were verified appropriate corrective action was taken. Specifically, there were no thorough investigations when a severly impared cognitive resident was sexually abused by a resident that was cognitively intact and when two residents were not assessed for ablitiy to consent, engaged in oral sex. These example were cited at an Immediate Jeopary level. […]

• Immediate jeopardy, patternF835Oct 31, 2022

  Based on observations, interviews and record review, it was determined that the facility failed to be administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, abuse occurred within the facility on multiple occasions,but was not identified, reported or investigated; the staffing was inadequate and resulted in falls, abuse, and activities of daily living not being completed; Quality Assurance (QA) was not completed as required for approximately one year; medically necessary appointments were not scheduled by facility staff or the administrator; wound reports and pharmacy reviews were only accessible to the Administrator, who did not… […]

• Immediate jeopardy, isolatedF684Aug 14, 2024

  Based on interview and record review, the facility did not ensure that 2 of 30 sample residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. Specifically, ongoing monitoring for changes in condition were not provided after one resident experienced ongoing emesis and abdmoninal pain, and a second resident had a deep vein thrombosis. The findings for resident 46 were determined to have resulted in immediate jeopardy for resident 46. Resident identifiers: 46 and 298. […]