Mountain View Skilled Nursing Community at WLRC

In the surveyor’s words

From the most serious findings on record at Mountain View Skilled Nursing Community at WLRC, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 24, 2026

  Based on observation, staff interview, record review, facility investigation review, and policy review, the facility failed to protect the residents' right to be free from verbal abuse, physical abuse, and sexual abuse by staff and residents for 3 of 8 sample residents (#4,#12,#16) reviewed for allegations of abuse and neglect. This failure resulted in actual harm to resident #16. The findings were: 1.Review of the quarterly MDS assessment dated [DATE] showed resident #4 had a BIMS score of 15 out of 15, which indicated normal cognitive function and diagnoses of non-traumatic brain dysfunction, anxiety and schizophrenia. […]

• Actual harm, isolatedF689Apr 24, 2026

  Based on staff interview, medical record review, policy review, and facility incident investigation review, the facility failed to ensure adequate supervision was provided for 2 of 8 sample residents (#2, #14) reviewed for accident hazards. The failure resulted in actual harm to resident #2. The findings were:1.Review of the quarterly MDS dated [DATE] showed resident #2 had a BIMS score of 6 out of 15, which indicated severe cognitive impairment, and had diagnoses of traumatic brain injury, non-Alzheimer's dementia, hemiplegia, and chronic lung disease. […]

• Actual harm, isolatedF600Oct 15, 2025

  Based on medical record review, staff interview, facility incident review, and policy review, the facility failed to protect the residents' right to be free from physical abuse by another resident for 2 of 13 sample residents (#2, #3) reviewed for allegations of abuse. This failure resulted in actual physical harm to resident #2 and resident #3. The findings were:1. Review of the quarterly MDS assessment dated [DATE] showed resident #2 had a brief interview for mental status score of 14 out 15, which indicated s/he was cognitively intact, and had diagnoses which included schizophrenia and bipolar disorder. […]

• Actual harm, isolatedF740Oct 15, 2025

  Based on observation, resident and staff interview, and record review, the facility failed to ensure necessary behavioral health care and services were provided to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 1 of 13 sample residents (#1) who was reviewed for behavioral health interventions. This failure resulted in actual harm to resident #1. The findings were: 1. Review of the quarterly MDS assessment dated [DATE] showed resident #1 had a brief interview for mental status score of 15 out 15, which indicated s/he was cognitively intact, and had diagnoses which included cerebral vascular accident, non-Alzheimer's dementia, seizure disorder, traumatic brain injury, anxiety disorder, depression, and psychotic disorder. […]

• Actual harm, isolatedF600Oct 10, 2023

  Based on medical record review, staff and resident interviews, and review of incident reports and facility documentation, the facility failed to protect the resident's right to be free from physical abuse by a client from another facility for 1 of 1 sample residents (#1) reviewed for abuse allegations, which resulted in physical and psychosocial harm. Corrective measures were implemented by the facility prior to the survey and compliance was determined to be met on 10/6/23. The findings were: 1. Review of the 9/12/23 significant change Minimum Data Set (MDS) assessment showed resident #1 scored 15 out of 15 on the Brief Interview for Mental Status (BIMS), which indicated the resident was cognitively intact. 2. […]