Mountain View Health: Infection Control Failures - TX
The facility violated fundamental infection prevention measures that form the backbone of nursing home safety. Inspectors documented failures in isolation procedures, staff protective equipment protocols, and other safeguards that help contain infectious diseases in environments where vulnerable residents live in close quarters.
Federal regulations require nursing homes to maintain comprehensive infection control programs. These programs become critical when residents develop communicable diseases or infections that could spread to other patients, staff, or visitors.
The facility's own policies outlined the importance of proper resident placement during infection control situations. Their undated "Fundamentals of Infection Control Precautions" document stated that appropriate resident placement was "a significant component of isolation precautions."
The policy specifically emphasized that private rooms with proper air handling and ventilation were "particularly important for reducing the risk of transmission of microorganisms from a source resident to susceptible residents and other persons in hospitals when the microorganism was spread by airborne transmission."
Mountain View's Infection Control Plan, dated October 2022, established clear expectations for preventing disease spread. The policy stated the facility would "establish and maintain an Infection Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection."
The plan assigned specific responsibilities to the infection control program, including investigating, controlling, and preventing infections throughout the facility. It also required the program to decide what procedures, such as isolation, should be applied to individual residents and maintain records of incidents and corrective actions related to infections.
When isolation becomes necessary, the facility's own policies required strict adherence to prevention protocols. The plan stated that "when the Infection Control Program determines that a resident needs isolation to prevent the spread of infection, the facility will isolate the resident."
Staff protection measures were equally detailed in facility policies. The plan prohibited employees with communicable diseases or infected skin lesions from having direct contact with residents or their food if such contact could transmit disease.
Hand hygiene requirements formed another cornerstone of the facility's infection control approach. Policies required staff to wash their hands after each direct resident contact "for which hand washing is indicated by accepted professional practice."
The facility also established specific protocols for personal protective equipment use. Staff were required to "Donn (put on or wear an item of clothing) and Doff (process of removing) PPE (Personal Protective Equipment) before and after contact with resident who needs isolation to prevent the spread of infection to others in the facility."
These protective equipment protocols serve as critical barriers between infectious agents and vulnerable populations. Proper donning and doffing procedures prevent contamination of clothing, hands, and other surfaces that could carry pathogens from one resident to another.
The September inspection revealed violations of these established infection control measures. Federal investigators classified the violations as causing "minimal harm or potential for actual harm" to "some" residents at the facility.
Infection control failures in nursing homes can have devastating consequences for elderly residents, who often have compromised immune systems and underlying health conditions that make them particularly susceptible to infectious diseases. Even minor lapses in protocol can lead to outbreaks that spread rapidly through facilities.
The timing of these violations adds particular concern, as nursing homes nationwide have heightened awareness of infection control importance following recent public health challenges. Facilities are expected to maintain rigorous standards regardless of external circumstances.
Mountain View Health & Rehabilitation now faces federal oversight to ensure compliance with infection control requirements. The facility must demonstrate that it has corrected the identified violations and implemented measures to prevent future lapses in these critical safety protocols.
The investigation underscores the ongoing challenges nursing homes face in maintaining consistent infection control practices while providing daily care to residents who require extensive assistance with basic activities of living.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Mountain View Health & Rehabilitation from 2025-09-05 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
Mountain View Health & Rehabilitation in El Paso, TX was cited for violations during a health inspection on September 5, 2025.
The facility violated fundamental infection prevention measures that form the backbone of nursing home safety.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.