Inspection Results » Mountain View Health Services

  1. Health Inspection on May 1, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-06-30)
      • Respond appropriately to all alleged violations. (Corrected 2018-06-30)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-06-30)
      • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-06-30)
      • Provide and implement an infection prevention and control program. (Corrected 2018-06-30)
      • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-06-30)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-06-30)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-06-30)
      • Implement a program that monitors antibiotic use. (Corrected 2018-06-30)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-30)
      • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2018-06-30)
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-06-30)
      • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2018-06-30)
      • Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. (Corrected 2018-06-30)
      • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-06-30)
      • 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. (Corrected 2018-06-30)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-06-30)
      • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-06-30)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-06-30)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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. (Corrected 2018-06-30)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-06-30)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-06-30)
      • 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. (Corrected 2018-06-30)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-06-30)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-06-30)
      • Provide activities to meet all resident's needs. (Corrected 2018-06-30)
      • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-06-30)
      • Ensure that residents are free from significant medication errors. (Corrected 2018-06-30)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html