Mountain View Rehab: Wheelchair Fall Causes Injury - PA
The warning had come one day too early to matter.
Inspectors who arrived at the facility on September 17 found that management had identified the concern with the employee on September 5 but failed to ensure the problem was actually corrected before the employee returned to work with residents. The facility's own timeline makes clear the sequence: concern raised, no effective intervention, resident harmed.
After CR1 fell on September 6, the facility moved quickly. Disciplinary action was taken against the employee. Facility-wide audits were conducted that same day across every nursing unit. Education on wheelchair leg rest use was delivered to all staff on September 6 and 7. Follow-up audits ran on September 10 and again on September 16, checking whether leg rests were in place when staff pushed residents who did not self-propel, and whether foot rests were available on the back of chairs for residents who did self-propel but might need assistance.
The Nursing Home Administrator and Director of Nursing reviewed all of it with inspectors at 3:40 p.m. on September 17.
The inspection was filed as a complaint. The level of harm was listed as actual harm. The corrective steps were real and documented. But the injury to Resident CR1 had already happened, on a day when the facility already knew there was a problem with the employee who caused it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Mountain View Rehabilitation and Senior Living Ctr from 2025-09-17 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 22, 2026 · Our methodology
MOUNTAIN VIEW REHABILITATION AND SENIOR LIVING CTR in COAL TOWNSHIP, PA was cited for violations during a health inspection on September 17, 2025.
The warning had come one day too early to matter.
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.