North Mountain Medical and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF880Nov 25, 2025

  Number of residents sampled: 154Number of residents cited: 26Based on observation, interview, review of clinical record, and review of facility policy and procedure, facility failed to ensure that residents with an atypical rash received appropriate treatment, isolation, and infection control measures for 24 residents (#155, #36, #50, #185, #186, #41, #51, #53, #54, #55, #85, #188, #99, #180, #189, #106, #9, #123, #190, #150, #153, #14, #31, and #176); failed to ensure staff performed hand hygiene when providing care for one resident (#143); and, failed to ensure enhanced barrier precautions were followed for one resident (#115). […]

• No harm, potential for more than minimal, patternF725Jul 14, 2022

  Based on the clinical record reviews, resident and staff interviews, facility documents, and policy and procedure, the facility failed to ensure that there was sufficient nursing staff to meet the needs of multiple residents (#s 102, 30, 91, 135, 38, and 109). The deficient practice resulted in residents needs not being met and/or not being met timely. Findings include: -Resident #102 was readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident's cognitive skills for daily decision making was severely impaired. […]

• No harm, potential for more than minimal, isolatedF757Nov 25, 2025

  Based on clinical record review, staff interviews, and facility policy, the facility failed to ensure that medications were administered within ordered parameters and in accordance with accepted standards of practice for one of five sampled residents (Resident #10) who were found to have unnecessary medications. The deficient practice had the potential to cause adverse drug effects and place residents at risk for harm from unnecessary medication that was not clinically indicated at the time of administration.Findings include:Resident #10 was admitted to the facility on [DATE], with the diagnosis that included nontraumatic intracerebral hemorrhage, unspecified; type 2 diabetes mellitus with hyperglycemia; and metabolic encephalopathy.A physician's order dated July 22, 2025, for an injection… […]

• No harm, potential for more than minimal, isolatedF600Dec 2, 2024

  Based on clinical record reviews, facility documentation, resident and staff interviews, and policy review, the facility failed to ensure that one resident (#2) was free from physical abuse. The deficient practice could result in further incidents of staff to resident abuse. Findings include: Resident #2 was admitted on [DATE] with diagnosis including acute and chronic respiratory failure with hypoxia critical illness myopathy, other toxic encephalopathy, and dysphagia. A review of the Minimum Data Set (MDS) dated [DATE] revealed Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognition. […]

• No harm, potential for more than minimal, isolatedF689Feb 15, 2023

  Based on clinical record reviews, staff interviews, facility documentation, policies and procedures, the facility failed to ensure a safe transfer using a mechanical lift for one resident (#55). The deficient practice could result in resident sustaining an injury. Findings include: Resident # 55 was admitted on [DATE] with diagnoses of acute respiratory failure with hypoxia, cerebral infarction, dependence on ventilator, and hemiplegia. The admission Minimum Data Set (MDS) assessment dated [DATE] revealed the resident required extensive assistance of two persons with bed mobility, transfers and toileting. The MDS also included the resident had impairment to both upper and lower extremities. […]