Mountain View Health Services

This section preserves official CMS inspection text matched to this facility from the current provider page source.

Inspection Report:
2024-08-14
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
42
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2025-11-12 | Tag F0627 | Resident Rights Deficiencies | Severity: G
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Survey: 2024-08-14 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2024-08-14 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
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.
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Survey: 2024-08-14 | Tag F0776 | Administration Deficiencies | Severity: J
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
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Survey: 2024-08-14 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2024-08-14 | Tag F0883 | Infection Control Deficiencies | Severity: D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Survey: 2024-08-14 | Tag F0550 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2024-08-14 | Tag F0580 | Resident Rights Deficiencies | Severity: D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Survey: 2024-08-14 | Tag F0584 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2024-08-14 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2024-08-14 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2024-08-14 | Tag F0622 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2024-08-14 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure each resident receives an accurate assessment.
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Survey: 2024-08-14 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2024-08-14 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Survey: 2024-08-14 | Tag F0661 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Survey: 2024-08-14 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2024-08-14 | Tag F0688 | Quality of Life and Care Deficiencies | Severity: D
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.
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Survey: 2024-08-14 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2024-08-14 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Survey: 2024-08-14 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: G
Provide enough food/fluids to maintain a resident's health.
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Survey: 2024-08-14 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: E
Provide safe and appropriate respiratory care for a resident when needed.
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Survey: 2024-08-14 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: G
Provide safe, appropriate pain management for a resident who requires such services.
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Survey: 2024-08-14 | Tag F0712 | Nursing and Physician Services Deficiencies | Severity: E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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Survey: 2024-08-14 | Tag F0727 | Nursing and Physician Services Deficiencies | Severity: F
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.
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Survey: 2024-08-14 | Tag F0755 | Pharmacy Service Deficiencies | Severity: E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2024-08-14 | Tag F0760 | Pharmacy Service Deficiencies | Severity: E
Ensure that residents are free from significant medication errors.
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Survey: 2024-08-14 | Tag F0770 | Administration Deficiencies | Severity: E
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Survey: 2024-08-14 | Tag F0773 | Administration Deficiencies | Severity: D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Survey: 2024-08-14 | Tag F0777 | Administration Deficiencies | Severity: D
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
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Survey: 2024-08-14 | Tag F0779 | Administration Deficiencies | Severity: D
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
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Survey: 2024-08-14 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2024-08-14 | Tag F0814 | Nutrition and Dietary Deficiencies | Severity: D
Dispose of garbage and refuse properly.
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Survey: 2024-08-14 | Tag F0835 | Administration Deficiencies | Severity: E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Survey: 2024-08-14 | Tag F0840 | Administration Deficiencies | Severity: D
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.
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Survey: 2024-08-14 | Tag F0841 | Nursing and Physician Services Deficiencies | Severity: E
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
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Survey: 2024-08-14 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Survey: 2024-08-14 | Tag F0843 | Administration Deficiencies | Severity: E
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.
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Survey: 2024-08-14 | Tag F0867 | Administration Deficiencies | Severity: H
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Survey: 2024-08-14 | Tag F0881 | Infection Control Deficiencies | Severity: E
Implement a program that monitors antibiotic use.
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Survey: 2024-08-14 | Tag F0882 | Infection Control Deficiencies | Severity: F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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Survey: 2024-08-14 | Tag F0923 | Environmental Deficiencies | Severity: E
Have enough outside ventilation via a window or mechanical ventilation, or both.
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Survey: 2022-10-31 | Tag F0550 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2022-10-31 | Tag F0565 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Survey: 2022-10-31 | Tag F0567 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to manage his or her financial affairs.
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Survey: 2022-10-31 | Tag F0568 | Resident Rights Deficiencies | Severity: E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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Survey: 2022-10-31 | Tag F0569 | Resident Rights Deficiencies | Severity: D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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Survey: 2022-10-31 | Tag F0573 | Resident Rights Deficiencies | Severity: D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
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Survey: 2022-10-31 | Tag F0578 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Survey: 2022-10-31 | Tag F0580 | Resident Rights Deficiencies | Severity: E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Survey: 2022-10-31 | Tag F0583 | Resident Rights Deficiencies | Severity: E
Keep residents' personal and medical records private and confidential.
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Survey: 2022-10-31 | Tag F0584 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2022-10-31 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Survey: 2022-10-31 | Tag F0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: G
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
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Survey: 2022-10-31 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Survey: 2022-10-31 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: K
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2022-10-31 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: K
Respond appropriately to all alleged violations.
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Survey: 2022-10-31 | Tag F0623 | Resident Rights Deficiencies | Severity: E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Survey: 2022-10-31 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure each resident receives an accurate assessment.
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Survey: 2022-10-31 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2022-10-31 | Tag F0658 | Resident Assessment and Care Planning Deficiencies | Severity: E
Ensure services provided by the nursing facility meet professional standards of quality.
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Survey: 2022-10-31 | Tag F0660 | Resident Assessment and Care Planning Deficiencies | Severity: D
Plan the resident's discharge to meet the resident's goals and needs.
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Survey: 2022-10-31 | Tag F0676 | Quality of Life and Care Deficiencies | Severity: E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Survey: 2022-10-31 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: F
Provide activities to meet all resident's needs.
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Survey: 2022-10-31 | Tag F0680 | Quality of Life and Care Deficiencies | Severity: F
Ensure the activities program is directed by a qualified professional.
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Survey: 2022-10-31 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2022-10-31 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2022-10-31 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: G
Provide enough food/fluids to maintain a resident's health.
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Survey: 2022-10-31 | Tag F0693 | Quality of Life and Care Deficiencies | Severity: G
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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Survey: 2022-10-31 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: G
Provide safe, appropriate pain management for a resident who requires such services.
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Survey: 2022-10-31 | Tag F0725 | Nursing and Physician Services Deficiencies | Severity: H
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Survey: 2022-10-31 | Tag F0755 | Pharmacy Service Deficiencies | Severity: E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2022-10-31 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2022-10-31 | Tag F0760 | Pharmacy Service Deficiencies | Severity: G
Ensure that residents are free from significant medication errors.
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Survey: 2022-10-31 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
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.
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Survey: 2022-10-31 | Tag F0773 | Administration Deficiencies | Severity: D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Survey: 2022-10-31 | Tag F0775 | Administration Deficiencies | Severity: E
Keep complete, dated laboratory records in the resident's record.
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Survey: 2022-10-31 | Tag F0805 | Nutrition and Dietary Deficiencies | Severity: E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Survey: 2022-10-31 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2022-10-31 | Tag F0835 | Administration Deficiencies | Severity: K
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Survey: 2022-10-31 | Tag F0836 | Administration Deficiencies | Severity: E
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
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Survey: 2022-10-31 | Tag F0838 | Administration Deficiencies | Severity: F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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Survey: 2022-10-31 | Tag F0840 | Administration Deficiencies | Severity: G
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.
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Survey: 2022-10-31 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Survey: 2022-10-31 | Tag F0867 | Administration Deficiencies | Severity: H
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Survey: 2022-10-31 | Tag F0868 | Administration Deficiencies | Severity: H
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Survey: 2022-10-31 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2022-10-31 | Tag F0882 | Infection Control Deficiencies | Severity: E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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Survey: 2022-10-31 | Tag F0886 | Infection Control Deficiencies | Severity: E
Perform COVID19 testing on residents and staff.
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Survey: 2022-10-31 | Tag F0923 | Environmental Deficiencies | Severity: E
Have enough outside ventilation via a window or mechanical ventilation, or both.
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Survey: 2022-10-31 | Tag F0925 | Environmental Deficiencies | Severity: E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Survey: 2021-09-01 | Tag F0550 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2021-09-01 | Tag F0559 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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Survey: 2021-09-01 | Tag F0565 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Survey: 2021-09-01 | Tag F0567 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to manage his or her financial affairs.
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Survey: 2021-09-01 | Tag F0568 | Resident Rights Deficiencies | Severity: E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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Survey: 2021-09-01 | Tag F0578 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Survey: 2021-09-01 | Tag F0584 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2021-09-01 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2021-09-01 | Tag F0655 | Resident Assessment and Care Planning Deficiencies | Severity: D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Survey: 2021-09-01 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2021-09-01 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Survey: 2021-09-01 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: F
Provide activities to meet all resident's needs.
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Survey: 2021-09-01 | Tag F0680 | Quality of Life and Care Deficiencies | Severity: E
Ensure the activities program is directed by a qualified professional.
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Survey: 2021-09-01 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2021-09-01 | Tag F0687 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate foot care.
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Survey: 2021-09-01 | Tag F0688 | Quality of Life and Care Deficiencies | Severity: G
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.
---
Survey: 2021-09-01 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2021-09-01 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: G
Provide enough food/fluids to maintain a resident's health.
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Survey: 2021-09-01 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: D
Provide safe and appropriate respiratory care for a resident when needed.
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Survey: 2021-09-01 | Tag F0732 | Nursing and Physician Services Deficiencies | Severity: E
Post nurse staffing information every day.
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Survey: 2021-09-01 | Tag F0756 | Pharmacy Service Deficiencies | Severity: D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Survey: 2021-09-01 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2021-09-01 | Tag F0761 | Pharmacy Service Deficiencies | Severity: E
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.
---
Survey: 2021-09-01 | Tag F0776 | Administration Deficiencies | Severity: D
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
---
Survey: 2021-09-01 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
---
Survey: 2021-09-01 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Survey: 2021-09-01 | Tag F0849 | Administration Deficiencies | Severity: D
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.
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Survey: 2021-09-01 | Tag F0867 | Administration Deficiencies | Severity: E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Survey: 2021-09-01 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2021-09-01 | Tag F0882 | Infection Control Deficiencies | Severity: F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.