Mountain Vista Health Park
Denton, North Carolina · CCN 345196
9 surveys since 2010, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 18
- Surveys
- 9
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 60
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Davidson
- Medicare-certified since
- 1980
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 5
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=3, floor 20).
Last survey on record
Apr 29, 2026
194 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.96 | 5.15 |
| Registered-nurse hours per resident day | 0.85 | — |
| Annual nurse turnover | 21.9% | 32.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1100.0% | E— | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
From the most serious findings on record at Mountain Vista Health Park, in the surveyor’s own words.
- No harm, potential for more than minimal, isolatedF880Apr 29, 2026
Based on observations, record review, and physician and staff interviews, the facility failed to implement their Infection Control Policy for transmission-based precautions when Nursing Assistant (NA) #1 and NA #2 failed to perform hand hygiene, apply a face mask prior to entering a room with droplet precautions in place and failed to complete hand hygiene upon exiting the room. This was for 2 of 5 staff members observed for infection control practices (NA #1 and NA #2).The findings included:Review of the droplet precautions sign with a revision date of 1/20/22 revealed instructions for entering the room including:Everyone must clean hands before entering and leaving the roomEveryone must wear a surgical/procedure mask when entering the room and remove after exiting the room.Additional… […]
- No harm, potential for more than minimal, isolatedF695Sep 1, 2022
Based on observations, record review, staff interviews, Medical Director interview and oxygen vendor interview the facility failed to administer oxygen (02) as ordered by the physician for 1 of 2 residents reviewed for oxygen (Resident #46). The findings included: Resident #46 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] Most recent quarterly Minimum Data Set (MDS) dated [DATE] revealed the resident had cognitive impairment, used supplemental 02 and had a one sided impairment on the upper and lower extremities. […]
- No harm, potential for more than minimal, isolatedF756May 27, 2021
Based on record review, and interviews with staff and Pharmacy Consultant, the facility failed to ensure a Medication Regimen Review was completed for 2 of 7 residents (Resident #10 and #11) reviewed for unnecessary medications. Findings Included: A review of the policy dated 11/28/12 titled Pharmacy Record Reviews read in part, the pharmacist shall be responsible to review the medication regimen of all residents at least on a monthly basis. 1.Resident #10 was admitted to the facility on [DATE] with a diagnosis of unspecified dementia, major depressive disorder, and anxiety disorder. The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #10's cognition was severely impaired. […]
Every survey on record
FindingsAt actual harm or above
- Apr 29, 2026Standard1 finding
- Sep 1, 2022Standard1 finding
- May 27, 2021Standard1 finding
- Jul 25, 2019Standard1 finding
- Jun 7, 2018Standard3 findings
- Aug 4, 2016Standard1 finding
- Jul 16, 2014Standard4 findings
- Apr 4, 2013—5 findings
Show the 1 earlier survey
- Dec 22, 2010—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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