Mountain View Conv Hosp
Inspection Findings
F-Tag F0628
F 0628 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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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MOUNTAIN VIEW CONV HOSP in SYLMAR, CA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SYLMAR, CA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MOUNTAIN VIEW CONV HOSP or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.