MOUNTAIN VIEW NURSING HOME

Nursing Home Inspector

1776 ELLY ROAD
ARODA, VA 22709
Madison County
Phone: 540-948-6831
Provider Number: 49E050
Last Inspection: 12/14/2016

About the Nursing Home

Number of Beds: 40
Number of Residents: 36
Beds Available: 4
Percent Occupancy: 90%
Insurance Accepted: Medicaid
Types of Councils: Resident
Ownership: Non profit - Church related
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

7

Facility
30

County
27

VA
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

7

2016
30

2016
24

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

12/14/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 1/15/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 1/15/2017
 

1/21/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Pattern : Minimal 4 3/1/2016
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 3/1/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 3/1/2016
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 1/7/2016
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 3/1/2016
 
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Isolated : Minimal 3 3/1/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 3/1/2016
 
Failed To: Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated : Minimal 3 3/1/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 3/1/2016
 

1/29/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 3/14/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 3/14/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 3/14/2015
 
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Minimal 4 3/14/2015
 
Failed To: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility Isolated : Minimal 3 3/14/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 3/14/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg VA State Avg
Number of Residents 36 58.50 96.74
Registered Nurses 1.01 0.69 0.75
Licensed Practical / Vocational Nurses 0.20 0.60 1.04
Certified Nursing Assistants 3.23 2.66 2.20
Total Staff Hours 4.45 3.95 3.99

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% VA State Avg%
of high risk long-stay residents with pressure ulcers 1 1 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 92 95 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 89 94
of long-stay residents experiencing one or more falls with major injury 0 0 3
of long-stay residents who have depressive symptoms 1 1 2
of long-stay residents who lose too much weight 1 6 7
of long-stay residents who received an antianxiety or hypnotic medication 3 12 23
of long-stay residents who received an antipsychotic medication 7 6 15
of long-stay residents who self-report moderate to severe pain 14 10 6
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 16 21 20
of long-stay residents whose need for help with daily activities has increased 14 14 16
of long-stay residents with a catheter inserted and left in their bladder 0 0 1
of long-stay residents with a urinary tract infection 0 1 4
of low risk long-stay residents who lose control of their bowels or bladder 57 42 53