Mountain View Health Services.

“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

“Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.”

“Post nurse staffing information every day.”

“Provide timely, quality laboratory services/tests to meet the needs of residents.”

“Keep complete, dated laboratory records in the resident's record.”

“Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.”

“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”

“Provide and implement an infection prevention and control program.”

“Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.”

“The provider was out of compliance with this rule by not ensuring that each resident be permitted to remain in the facility, and not transfer or discharge the resident from the<br/>facility unless the health or safety of an individual in the facility is endangered; the licensee ceases to operate the facility; the resident has failed, after reasonable and appropriate notice, to pay for a stay at the facility; the transfer or discharge is appropriate because the resident's health has improved sufficiently so the resident no longer needs the services provided by the facility; or the transfer or discharge is necessary for the resident's welfare and the resident's needs cannot be met in the facility. During the inspection, a resident that was transferred to the hospital was not allowed to return when the hospital discharged the resident.”

“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”

“Ensure medication error rates are not 5 percent or greater.”

“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”

“Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.”

“Provide and implement an infection prevention and control program.”

“Develop and implement policies and procedures for flu and pneumonia vaccinations.”

“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”

“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”

“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”

“Respond appropriately to all alleged violations.”

“Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.”

“Ensure each resident receives an accurate assessment.”

“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

“Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.”

“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”

“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”

“Provide enough food/fluids to maintain a resident's health.”

“Provide safe and appropriate respiratory care for a resident when needed.”

“Provide safe, appropriate pain management for a resident who requires such services.”

“Ensure that the resident and his/her doctor meet face-to-face at all required visits.”

“Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.”

“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”

“Ensure that residents are free from significant medication errors.”

“Provide timely, quality laboratory services/tests to meet the needs of residents.”

“Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.”

“Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.”

“Keep signed and dated reports of x-rays and other diagnostic services in the residents record.”

“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

“Dispose of garbage and refuse properly.”

“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”

“Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.”

“Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.”

“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”

“Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.”

“Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”

“Implement a program that monitors antibiotic use.”

“Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”

“Have enough outside ventilation via a window or mechanical ventilation, or both.”

“The provider was out of compliance with this rule by not ensuring each resident was free from neglect. During the inspection, one resident was found to not receive a "stat" (immediate or urgent) ultrasound, as ordered by their physician. The resident died five days later.”