Mountain View Health: Resident Rights Violations - TX
Mountain View Health & Rehabilitation brought in Resident #1 on August 8th following an accident that required therapy. The facility's receptionist later told inspectors she had no instructions to provide the admission packet that weekend, even though facility policy required it for every admission.
The packet contained crucial information about resident rights, facility operations, and daily schedules. More importantly, it was supposed to collect signatures acknowledging the family understood these rights.
"The admission packet gave the resident or the RP/Family Member all the information they needed to know and that was where the facility acquired their signatures acknowledging understanding," the receptionist explained to inspectors on September 5th.
Resident #1 appeared stable during his first day. The Director of Nursing found him "appropriate for the facility" during the admission process on August 8th. He showed no behavioral problems initially.
That changed early morning on August 9th.
The resident became physically aggressive, spitting at staff and trying to hit them while screaming for his children. Staff brought him back into the building in a wheelchair, the receptionist observed from her desk.
The facility sent him to the hospital the same day for the aggressive behaviors. The hospital returned him immediately.
The Director of Nursing told inspectors she remained "unsure if the family or resident received an admission packet which also included the Resident Rights policy." This uncertainty violated the facility's own written procedures.
Facility policy explicitly required staff to "provide the resident and family member with a copy of resident rights" and "explain the resident's rights in a language they understand and answer any questions about the rights."
The policy also mandated obtaining "a signature of receipt from the resident and/or family member and place a signed copy of the rights on the clinical record."
None of this happened during Resident #1's weekend admission.
After the behavioral incident, administrators decided the resident was "unsafe to be at the facility and it was in the best interest that Resident #1 discharged from the facility."
The Director of Nursing arranged home health services and provided discharge instructions to the family member on August 10th. The family disagreed with the discharge decision but took the resident home anyway.
The receptionist acknowledged there would be "a risk" if the admission packet wasn't provided, "being there was a reason that they were given."
Federal regulations require nursing homes to inform residents of their rights immediately upon admission. These rights include the ability to voice complaints, participate in care planning, and understand facility policies that affect their daily lives.
The facility's comprehensive policy manual listed numerous documents that should be provided to every resident and family: acknowledgment forms, privacy notices, resident rights statements, advance directive information, grievance procedures, and emergency communication policies.
Resident #1's family received none of these during his three-day stay.
The violation occurred during a weekend admission when the regular admissions coordinator wasn't working. The receptionist, left without specific instructions, failed to follow the facility's standard admission procedures.
This created a gap in the resident's protection. Without understanding his rights, neither the resident nor his family knew what services he was entitled to receive, how to file complaints about his care, or what to expect from facility staff.
The behavioral crisis that led to his hospitalization and subsequent discharge happened within 24 hours of his admission. During this critical period, when the resident was most vulnerable and his family was trying to understand his new environment, they lacked the basic information every nursing home resident is guaranteed by federal law.
Mountain View Health & Rehabilitation's failure to provide the admission packet represented more than administrative oversight. It denied a resident and his family access to fundamental protections during his most vulnerable moments at the facility.
The family member who disagreed with the discharge decision had never received the grievance procedure information that might have helped them challenge the facility's actions through proper channels.
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.
Mountain View Health & Rehabilitation brought in Resident #1 on August 8th following an accident that required therapy.
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.