Mountain View Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Jun 14, 2024

  Based on observations, interviews, and record review the facility failed to ensure staff followed safe Infection control practices when: 1. Three staff members, one Certified Nursing Assistant (CNA 1), the Activities Director (AD), and the Infection Preventionist (IP), were wearing acrylic nails longer than the tip of the fingers, on June 11, 2024. 2. One resident's (Resident 35) urinary catheter bag (a bag connected to a flexible tube inserted into the bladder and collects urine), was on the floor, on June 13, 2024. 3. […]

• No harm, potential for more than minimal, widespreadF908Jun 14, 2024

  Based on observations, interviews, and record review, the facility failed to ensure their walk-in refrigerator and walk-in freezer were maintained in safe operating condition when both the fridge and the freezer were identified to not be operating correctly and unable to maintain acceptable temperatures on June 10, 2024. This failure had the potential for food spoilage and increased risk for foodborne illness (illness caused by eating contaminated food) for all 42 residents who received food from the facility's kitchen. […]

• No harm, potential for more than minimal, widespreadF812May 5, 2023

  Based on observation, interview and record review, the facility failed to maintain a sanitary kitchen in accordance with professional standards for food service safety when: 1) There was diet and grime built on top of the stainless-steel dishwashing machine which had the potential for microorganism growth that could be transferred to the food. 2) Plastic food storage containers were stacked and stored wet, which prevented them from drying and had the potential to allow an environment where microorganisms can begin to grow. 3) There was food, black grime, and trash build-up found behind and, underneath the stove. […]

• No harm, potential for more than minimal, patternF686Nov 30, 2022

  Based on interview, and record review, the facility failed to ensure residents did not develop pressure sores and received necessary treatment to promote healing for two of two sampled residents (Residents 3 and 4) when 1. Resident 3 developed a stage II pressure ulcer (abrasion, crater, or blister) on her coccyx (tailbone) and did not receive evaluation and consistent treatment. 2. Resident 4 developed an unstageable pressure ulcer [the base of the ulcer is covered by a thick layer of other tissue and pus that may be yellow, grey, green, brown, or black. […]

• No harm, potential for more than minimal, patternF692Nov 30, 2022

  Based on observation, interview and record review, the facility failed to maintain acceptable parameters of nutritional status for three of three sampled residents (Residents 1, 4, and 5) when: 1. For Resident 1, undesirable weight loss of 5.38% (percent) in 3 (three) months was identified but the Registered Dietician's (RD) recommended dietary changes were not implemented. 2. For Resident 4, significant weight loss of 15.4% (percent) in 3 (three) months was identified and Resident 4 developed a stage I pressure ulcer [Stage I ulcers are not open wounds. The skin may be painful, but it has no breaks or tears. […]