Mountain View Center Genesis Healthcare: Expired Meds - VT
The cart belonged to the Cherrytree unit, the facility's memory care floor. When inspectors observed it at 8:48 in the morning on June 3, 2026, the cart was unsecured and accessible to residents who, by the nature of the unit, may not understand what medications are or the danger of taking someone else's. The registered nurse assigned to the cart acknowledged, when asked about it roughly 25 minutes later, that it should have been locked whenever she wasn't attending to it. She said she made a mistake.
That would be a serious enough finding on its own. But the unlocked cart was only part of what inspectors documented during their two-day review.
The day before, on June 2, inspectors examined the medication cart serving the Beach unit and found a bottle of Mirtazapine, 15 milligrams, prescribed to a resident identified in the report as Resident 130. The medication had expired on May 23, more than a week earlier. A nurse on the unit confirmed it was expired.
Less than two hours later, inspectors moved to the Beach unit's medication storage room. There they found two over-the-counter bottles of Bisacodyl 5mg, a laxative, that had expired in April 2026. Nurses confirmed those, too, were expired.
Three expired medications across two separate areas of the same unit, found within a single morning.
The facility's own written policy, last revised in January 2026, is unambiguous: outdated, contaminated, discontinued, or deteriorated medications are to be immediately removed from stock and disposed of according to the facility's disposal procedures. The Bisacodyl had been sitting in that storage room for at least a month past its expiration date. The Mirtazapine, an antidepressant used to treat depression and sometimes prescribed to nursing home residents for appetite stimulation or sleep, had been on the cart for over a week after it was no longer safe to dispense.
What makes this inspection notable beyond the individual findings is the word the report uses to describe them: repeat.
Inspectors cited the same category of violation, medication storage failures, during the facility's previous recertification survey, dated June 4, 2026, which the report lists as the prior inspection cycle. The facility had been here before, had been told what was wrong, and the problems persisted into the next review period.
Mountain View Center Genesis Healthcare is part of Genesis Healthcare, one of the largest nursing home operators in the country. The Rutland facility sits at 9 Haywood Avenue and serves residents including those in memory care, a population that requires heightened protection precisely because they cannot advocate for themselves when something goes wrong.
An unlocked medication cart in a memory care common area is not a paperwork problem. Residents with dementia may not recognize medications as dangerous. They may pick up a bottle out of curiosity. They may take something intended for another resident. The nurse who left the cart unsecured said she made a mistake. The inspection report does not say how long the cart had been sitting there before inspectors spotted it, or whether any resident approached it.
The expired medications present a different but related risk. Drugs degrade after their expiration dates, and their potency becomes unreliable. A resident receiving an expired antidepressant may not be getting a therapeutic dose. The facility's own policy exists because these risks are known and preventable.
Inspectors rated the harm level for these findings as minimal harm or potential for actual harm, the lower end of the federal scale. The deficiency did not rise to immediate jeopardy. But a violation cited twice in consecutive inspection cycles at a facility caring for some of the most vulnerable residents in Rutland suggests that whatever corrective steps were taken after the first citation did not hold.
The nurse on the Cherrytree unit locked the cart after inspectors found it open. The expired medications were confirmed by staff who were standing in the same rooms where they had been sitting.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Mountain View Center Genesis Healthcare from 2026-06-03 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Mountain View Center Genesis Healthcare in Rutland, VT was cited for violations during a health inspection on June 3, 2026.
The cart belonged to the Cherrytree unit, the facility's memory care floor.
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.