Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 145546

Mt Zion Health & Rehab Center

54 federal citations on record .

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Record summary

Federal record · Q1 2026
54
Total citations
24
Last 3 years
2
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care12 Abuse & Neglect10 Resident Rights7 Care Planning7 Medication & Pharmacy6

Most common F-tags at this facility

F6896 F6004 F8803 F6573 F5502

Citation history

54 on record
SurveyF-TagViolationSeveritySource
Dec 16, 2025F760Ensure that residents are free from significant medication errors.EComplaint
Dec 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Dec 16, 2025F659Provide care by qualified persons according to each resident's written plan of care.DComplaint
Dec 16, 2025F610Respond appropriately to all alleged violations.DComplaint
Dec 16, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 16, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.GComplaint
Dec 16, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 14, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Oct 14, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 18, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jun 6, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 2, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Feb 9, 2024F880Provide and implement an infection prevention and control program.FComplaint
Feb 9, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Feb 9, 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.FStandard
Feb 9, 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.EStandard
Feb 9, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Feb 9, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Feb 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Feb 9, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Feb 9, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Jun 12, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jun 12, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 20, 2023F880Provide and implement an infection prevention and control program.E—
Apr 7, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 7, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 7, 2023F610Respond appropriately to all alleged violations.DComplaint
Apr 7, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Dec 6, 2022F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Dec 6, 2022F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard
Dec 6, 2022F880Provide and implement an infection prevention and control program.FStandard
Dec 6, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Dec 6, 2022F758Implement 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.EStandard
Dec 6, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.FStandard
Dec 6, 2022F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard
Dec 6, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Dec 6, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 6, 2022F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 6, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 6, 2022F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Dec 6, 2022F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Dec 6, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EStandard
Dec 6, 2022F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Dec 6, 2022F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.CStandard
Oct 26, 2021F908Keep all essential equipment working safely.EStandard
Oct 26, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 26, 2021F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Oct 26, 2021F732Post nurse staffing information every day.CStandard
Oct 26, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Oct 26, 2021F685Assist a resident in gaining access to vision and hearing services.DStandard
Oct 26, 2021F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.EStandard
Oct 26, 2021F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 26, 2021F625Notify 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.DStandard
Oct 26, 2021F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
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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