Mountain View of Bryson City

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 26, 2024

  Based on observation, record review and Responsible Party, staff, and Medical Doctor interviews, the facility failed to safely transfer a resident from the bed to the chair when one staff member used a mechanical lift resulting in the resident falling to the floor for 1 of 6 sampled residents reviewed for accidents (Resident #30). On 05/17/23, while being transferred one of the clasps attaching the sling to the mechanical lift malfunctioned resulting in Resident #30 falling out of the sling onto the floor. Upon initial nurse assessment, Resident #30 complained of no pain and had no obvious injuries but later that same day he complained of hip pain, was sent out to the hospital for evaluation, x-rays obtained revealed no hip fracture and he returned to the facility on [DATE]. […]

• Actual harm, isolatedF888Jul 15, 2022

  Based on record review and staff interviews the facility failed to meet the staff vaccination requirement when the Director of Housekeeping and Laundry, Laundry Aide #1, and Dietary Aide #1 worked without being fully vaccinated and without an exemption. The facility also failed to implement an effective process for tracking COVID-19 Vaccination Status for 3 of 3 facility staff. The facility went into outbreak status during survey on 07/13/22 when two facility staff and one contract staff and three residents (Residents #46, 45, and 36) tested positive for COVID-19 on 07/13/22. The findings included: The facility's *COVID-19 Vaccine* policy with no reviewed date, read in part: It is the policy that all persons be offered the COVID-19 vaccine. […]

• No harm, potential for more than minimal, widespreadF812Jul 9, 2026

  Based on observations and staff interviews, the facility failed to discard food with signs of spoilage and label and date food items in 1 of 1 walk-in cooler and maintain a clean and sanitary ice machine for 1 of 1 ice machine used to serve beverages to residents. These practices had the potential to affect food served to residents. Findings included: a. An observation of the walk-in cooler on 07/06/26 at 9:54 AM made with the Head [NAME] revealed the following:- A clear plastic container with a lid labeled tuna dated 6/21 with a use by date of 6/30,-A clear plastic pitcher with a lid labeled tomato soup with a use by date of 7/2,-A clear container with a lid labeled alfredo with a use by date of 6/28,-A clear plastic container with a lid labeled brown gravy with a use by date of 7/5,-A… […]

• No harm, potential for more than minimal, patternF641Jul 9, 2026

  Based on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment in the areas of falls and Preadmission Screening and Resident Review (PASRR) for 7 of 22 residents reviewed for MDS accuracy (Resident #11, #20, #8, #9, #68, #10, and #76). Findings included: 1. Resident #11 was admitted to the facility on [DATE] with diagnoses which included chronic respiratory failure with hypoxia (inadequate oxygen levels) and fracture of the upper end left humerus (upper arm bone) with routine healing. The admission MDS assessment dated [DATE] coded Resident #11's fall history as having a fall in the last month and a fracture related to a fall prior to admission. […]

• No harm, potential for more than minimal, patternF812Apr 17, 2025

  Based on observations and staff interviews, the facility failed to discard expired food from 1 of 1 walk-in cooler, date food items in 1 of 1 walk-in freezer, cover food items in 1 of 1 walk-in cooler, and remove expired food available for use from 1 of 1 dry storage room. This deficient practice had the potential to affect food served to residents. Findings included: 1. An initial observation of the walk-in cooler on [DATE] at 10:02 AM revealed a box of thawed premade peanut butter and honey sandwiches with a date of [DATE]. An interview with the Dietary Manager on [DATE] at 10:05 AM revealed the date of [DATE] indicated that was the date the sandwiches were placed in the cooler, and she was not sure how long they were good for after they were thawed but she would check. […]