Mountain View Adult Care Home

Based on record review and interview, the assisted living home failed to maintain a standardized form for each resident that included the information prescribed in subsection A of this section, except for the information prescribed in subsection A, paragraph 1 of this section, which shall be provided at the time the emergency responder is contacted, for one of two residents sampled. Findings include: 1 . A review of facility documentation revealed a standardized emergency medical services form available for R1. However, a standardized emergency medical services form was not available for R2 at the time of inspection. 2 . In an exit interview, the findings were discussed with O1 and no additional information was provided.

Based on record review and interview, the manager failed to ensure a caregiver provided evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113, for one of two personnel sampled. Findings include: 1 . A review of E2's personnel record revealed documentation of a negative TB skin test and a TB screening. However, documentation of a second negative TB skin test was not available for review at the time of inspection. 2 . In an exit interview, the findings were discussed with O1 and no additional information was provided.

Based on documentation review and interview, the governing authority failed to administer a training program for all staff regarding fall prevention and fall recovery. The deficient practice posed a risk if a staff member was unable to meet a resident's needs during an emergency. Findings include: 1. A review of facility documentation revealed a training program for all staff regarding fall prevention and fall recovery was not available for review. 2. In an interview, E1 acknowledged documentation of a training program for all staff regarding fall prevention and fall recovery was not available for review. This is a repeat deficiency from the complaint and compliance inspection conducted on March 14, 2023.

Based on record review and interview, the manager failed to ensure that a resident requiring continuous nursing services was not retained for one of two residents sampled. The deficient practice posed a risk as the health care institution was not authorized to provide nursing services. Findings include: 1. A review of R1's medical record revealed a document titled "Preliminary Admission Summary R9-10-807.B, C", which reflected R1 required continuous nursing services. The document was signed by a physician/NP/RN or PA. 2. In an interview, E1 acknowledged R1 was retained although continuous nursing services were required.

Based on record review and interview, the manager failed to ensure that a resident requiring behavioral health services was not retained for one of two residents sampled. The deficient practice posed a risk as the health care institution was not authorized to provide behavioral health services. Findings include: 1. A review of R1's medical record revealed a document titled "Preliminary Admission Summary R9-10-807.B, C", which reflected R1 required continuous behavioral health services. The document was signed by a physician/NP/RN or PA. 2. A review of Department records revealed that the facility was not authorized to provide behavioral health services. 3. In an interview, E1 acknowledged R1 was retained although continuous behavioral health services were required.