Mountain View Conv Hosp
MOUNTAIN VIEW CONV HOSP in SYLMAR, CA — inspection on August 12, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
stated Resident 1 received the notice of discharge.
The DON stated Resident1 had agreed to be discharged to AL 1.
The DON stated was notified by SSD that Resident 1 was placed in a different facility (AL 2), the DON stated she (DON) verified with the SSD that Resident 1 had agreed to the placement and SSD stated Resident 1 had agreed to the placement.
The DON stated the Notice of Transfer or Discharge is provided by the Registered Nurse (RN) when the resident is being discharged , the medications are reviewed, any follow up visit and home health are reviewed, then it is signed by both the resident and the RN.
The DON reviewed the Notice of Transfer or Discharge, and the DON stated the notice indicated Resident 1 was discharged to AL 1.
The DON stated the facility did not provide Resident 1 with the Notice of Transfer or Discharge for the new facility (AL 2).
There was no documented evidence there were changes made to Resident 1's Notice of Transfer or discharge before Resident 1's discharge.
The DON reviewed the facility policy titled, Transfer or Discharge, Facility-Initiated, and the DON stated per the facility policy the resident should be given the specific location they (residents) are going to.
The DON stated the signed Notice of Transfer or Discharge is not accurate because there is a potential to not have accurate records.
The DON stated the facility needs to communicate with home health because there is a potential with home health to not be aware of Resident 1 going to AL 2, potentially resulting in Resident 1 missing on services.During a review of the facility's policy and procedure (P&P) titled, Transfer or Discharge, Facility-Initiated, last reviewed on 9/2024, the P&P indicated the resident and representative are notified in writing of the following information:c.
The specific location (such as the name of the new provider or description and or address if the location is a residence) to which the resident is being transferred or discharged .During a review of the facility P&P titled, Charting and Documentation, last reviewed on 9/2024, the P&P indicated documentation in the medical record will be objective, complete, and accurate.
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