Mountain View Rehabilitation and Senior Living CTR

In the surveyor’s words

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

• Actual harm, isolatedF600Jun 26, 2026

  Based on a review of select facility policies and procedures, clinical record review, personnel record review, and staff interview, it was determined that the facility failed to protect a resident's right to be free from physical abuse by staff that resulted in actual harm with a serious injury of a rib fracture for one of seven residents reviewed (Resident 1).Findings include: The facility policy entitled, Abuse Prevention and Prohibition Program, Operational Manual, Abuse and Neglect, last reviewed February 3, 2026, noted that the purpose of the program is to ensure that the facility establishes, operationalizes, and maintains an Abuse Prevention and Prohibition Program designed to screen and train employees, protect residents, and to ensure a standardized methodology for the prevention,… […]

• Actual harm, isolatedF600Sep 17, 2025

  Based on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to protect residents from staff neglect resulting in a fall from a wheelchair with serious injury for one of seven residents reviewed (Resident CR1). This deficiency is cited as past noncomplianceFindings include: Closed clinical record review for Resident CR1 revealed a diagnosis list that included vascular dementia (a type of dementia caused by reduced blood flow to the brain and leading to cognitive impairments such as memory loss, loss of judgment, and loss of complex motor skills). […]

• Actual harm, isolatedF689Aug 26, 2025

  Based on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to implement interventions related to fall injury prevention and failed to provide adequate supervision resulting in a fall with injury for one of three residents reviewed (Resident CR1).This deficiency is cited as past noncomplianceFindings include: Closed clinical record review for Resident CR1 revealed a diagnosis list that included Alzheimer's Disease with Late Onset (a progressive brain disorder that affects memory, thinking, and language), the need for assistance with personal care, and lack of coordination. […]

• Actual harm, isolatedF600Nov 15, 2024

  Based on a review of select facility policies and procedures, clinical record review, and resident and staff interview, it was determined that the facility failed to protect a resident's right to be free from neglect by staff that resulted in actual harm with a serious injury of an ankle fracture for one of 10 residents reviewed (Resident 1). Findings include: The facility policy entitled, Resident Abuse and Neglect Prevention Program, last reviewed July 24, 2024, revealed that each resident has the right to be free from verbal, sexual, physical, and mental abuse. Management and staff are jointly and individually responsible to ensure each resident will be free from abuse, neglect, and misappropriation of property. […]

• Actual harm, isolatedF600Jul 24, 2024

  Based on a review of select facility policies and procedures, clinical record review, personnel record review, and staff interview, it was determined that the facility failed to protect a resident's right to be free from physical abuse by staff that resulted in actual harm with a serious injury of a facial fracture for one of nine residents reviewed (Resident 1, Unit A). Findings include: The facility policy entitled, Resident Abuse and Neglect Prevention Program, last reviewed August 21, 2023, revealed that each resident has the right to be free from verbal, sexual, physical, and mental abuse. Management and staff are jointly and individually responsible to ensure each resident will be free from abuse, neglect, and misappropriation of property. […]