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Facility profile · CCN 215277

Mountain City Rehab Center

71 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $48,227.

Abuse Icon 1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
71
Total citations
46
Last 3 years
3
Actual harm+
3
Federal penalties
$48,227
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

71 on record
SurveyF-TagViolationSeveritySource
Nov 7, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.EComplaint
Nov 7, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 7, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 7, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Nov 7, 2025F610Respond appropriately to all alleged violations.EComplaint
Nov 7, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Nov 7, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Nov 7, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Nov 7, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 26, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
Nov 26, 2024F908Keep all essential equipment working safely.DComplaint
Nov 26, 2024F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FComplaint
Nov 26, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 26, 2024F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DComplaint
Nov 26, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Nov 26, 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.DComplaint
Nov 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Nov 26, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Nov 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Nov 26, 2024F679Provide activities to meet all resident's needs.DComplaint
Nov 26, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Nov 26, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint
Nov 26, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEComplaint
Nov 26, 2024F610Respond appropriately to all alleged violations.DComplaint
Nov 26, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint
Nov 26, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Nov 26, 2024F880Provide and implement an infection prevention and control program.DStandard
Nov 26, 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.DStandard
Nov 26, 2024F836Ensure 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.DStandard
Nov 26, 2024F761Ensure 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.EStandard
Nov 26, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Nov 26, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Nov 26, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Nov 26, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Nov 26, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Nov 26, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Nov 26, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Nov 26, 2024F688Provide 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.DStandard
Nov 26, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Nov 26, 2024F641Ensure each resident receives an accurate assessment.EStandard
Nov 26, 2024F637Assess the resident when there is a significant change in conditionDStandard
Nov 26, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Nov 26, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Nov 26, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard
Nov 26, 2024F578Honor 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.EStandard
Nov 26, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Sep 20, 2019F908Keep all essential equipment working safely.DStandard
Sep 20, 2019F880Provide and implement an infection prevention and control program.EStandard
Sep 20, 2019F759Ensure medication error rates are not 5 percent or greater.DStandard
Sep 20, 2019F624Prepare residents for a safe transfer or discharge from the nursing home.DStandard
Sep 20, 2019F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Sep 20, 2019F576Ensure residents have reasonable access to and privacy in their use of communication methods.CStandard
Mar 9, 2018F880Provide and implement an infection prevention and control program.EStandard
Mar 9, 2018F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Mar 9, 2018F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Mar 9, 2018F761Ensure 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.EStandard
Mar 9, 2018F759Ensure medication error rates are not 5 percent or greater.DStandard
Mar 9, 2018F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Mar 9, 2018F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Mar 9, 2018F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.EStandard
Mar 9, 2018F732Post nurse staffing information every day.CStandard
Mar 9, 2018F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard
Mar 9, 2018F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 9, 2018F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Mar 9, 2018F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 9, 2018F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Mar 9, 2018F641Ensure each resident receives an accurate assessment.EStandard
Mar 9, 2018F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.CStandard
Mar 9, 2018F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Mar 9, 2018F584Honor 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
Mar 9, 2018F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $48,227 .

DateTypeFinePayment denial
Nov 7, 2025Fine$15,106
Nov 26, 2024Fine$16,559
Nov 26, 2024Fine$16,562
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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