Mountain View Rehabilitation and Healthcare Center

In the surveyor’s words

From the most serious findings on record at Mountain View Rehabilitation and Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Jul 19, 2024

  Based on interview, record review, review of the facility's local health department inspection, and review of the local health department's website, the facility failed to provide education to food handlers related to safe food handling practice to enable the food handlers to effectively carry out the functions of the food and nutrition service department. This deficient practice affected 53 residents receiving meals from the kitchen. The findings include: Review of the local health department's, Food Service Establishment Inspection Report, dated 08/17/2023, revealed the facility had been cited for areas of the kitchen floors needing cleaning; equipment needing cleaning; and three (3) overhead lights needing repair. […]

• No harm, potential for more than minimal, widespreadF812Jul 19, 2024

  Based on observation, interview, and review of the facility's policies, it was determined the facility failed to provide a safe sanitary environment for food production and appropriate trash storage and disposal, which affected 54 residents receiving their meals from the kitchen. The findings include: Review of the facility's policy titled, Cleaning Procedures-Garbage Cans, Buckets, and Disposals, dated 08/2013, revealed kitchen garbage cans were to have plastic liners and those liners were to be changed as needed and disposed of frequently in the outside dumpster. Review of the facility's policy titled, Preparation of Food, dated 08/2013 and revised on 02/09/2026, revealed the preparation of foods served to residents and personnel were the responsibility of the Food Service Manager. […]

• No harm, potential for more than minimal, patternF761Jul 19, 2024

  Based on observation, interview, and review of the facility's policy, it was determined the facility failed to ensure drugs and biologicals were labeled with residents' names. Observation of the four (4) medication carts and two (2) medication refrigerators on 07/16/2024 at 2:08 PM and 2:13 PM and on 07/18/2024 at 4:36 PM, revealed three (3) of the four (4) carts contained unlabeled medications. The findings include: Review of the facility's policy titled, Medication Storage, Version 09/2020, revealed medications were to be stored in the containers in which they were dispensed. Further policy review revealed under no circumstances should any person, other than the Pharmacist, be allowed to transfer medications from one container to another, except for immediate use. […]

• No harm, potential for more than minimal, isolatedF656Nov 14, 2025

  Based on observation, interview, record review, and facility policy the facility failed to implement changes to the Care Plan for 1 of 14 Sampled residents, (R46).The findings include:Review of the facility policy titled Comprehensive Care Plan not dated, revealed it was the policy to the facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the resident's comprehensive assessment. […]

• No harm, potential for more than minimal, isolatedF641Jul 19, 2024

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure accurate assessments for one of 29 sampled residents. The facility failed to document Resident (R) 25's skin lesion identified on 10/07/2022 until the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/24/2024. Review of the facility's policy titled, Resident Assessment Instrument (RAI) Process, dated 10/2019, revealed the facility will use the most current version of the RAI Manual and follow guidelines therein as set forth by the Centers for Medicare and Medicaid services (CMS) for all RAI processes and completion of the MDS unless otherwise outlined in the manual. […]