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Facility profile · CCN 395582

Mountain City Nursing & Rehabilitation Center

52 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $179,593.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
52
Total citations
52
Last 3 years
6
Actual harm+
3
Federal penalties
$179,593
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

52 on record
SurveyF-TagViolationSeveritySource
Jan 12, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Mar 27, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
Mar 27, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 7, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Feb 7, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Feb 7, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Feb 7, 2025F641Ensure each resident receives an accurate assessment.DStandard
Feb 7, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EStandard
Feb 7, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard
Jan 3, 2025F692Provide enough food/fluids to maintain a resident's health.DComplaint
Jul 10, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Jul 10, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EComplaint
Jul 10, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Jul 10, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint
Jul 10, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
May 31, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EComplaint
May 31, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.DComplaint
May 31, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.GComplaint
May 31, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
May 31, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 31, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Apr 19, 2024F838Conduct 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.EStandard
Apr 19, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Apr 19, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 19, 2024F760Ensure that residents are free from significant medication errors.DStandard
Apr 19, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.EStandard
Apr 19, 2024F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EStandard
Apr 19, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Apr 19, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 19, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HStandard
Apr 19, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard
Apr 19, 2024F584Honor 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.EStandard
Apr 19, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Mar 20, 2024F584Honor 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.EComplaint
Mar 20, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Nov 21, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint
Nov 21, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Sep 28, 2023F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint
Sep 28, 2023F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Sep 28, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 6, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Sep 6, 2023F761Ensure 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.DComplaint
Sep 6, 2023F584Honor 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.EComplaint
Jun 21, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
May 12, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 12, 2023F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
May 12, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
May 12, 2023F692Provide enough food/fluids to maintain a resident's health.EStandard
May 12, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
May 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
May 12, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
May 12, 2023F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $179,593 and 1 payment-denial actions spanning 39 days.

DateTypeFinePayment denial
Mar 20, 2024Fine$171,403
Mar 20, 2024Payment DenialJun 20, 2024 · 39 days
May 12, 2023Fine$8,190
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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