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Mountain Vista Health Center

📍 4800 Tabor St, Wheat-ridge, CO 80033 📞 (303) 421-4161 🛏️ 168 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

March 24, 2025 Complaint Investigation

Fines and Penalties by Year

2022 1 penalties totaling $31,824

$31,824
Mar 23, 2022

Fine

2021 1 penalties totaling $9,750

$9,750
Sep 13, 2021

Fine

2020 2 penalties totaling $19,500

$19,500
Jun 17, 2020

Fine

$0
Jun 17, 2020

Payment Denial

2019 2 penalties totaling $158,526

$147,908
Sep 23, 2019

Fine

$10,618
Jul 11, 2019

Fine

2018 1 penalties totaling $11,053

$11,053
Apr 19, 2018

Fine

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Health Violations by Year

2025 6 violations

Tag 0550 D Mar 24, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 30, 2025
Tag 0609 D Mar 24, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 30, 2025
Tag 0658 D Mar 24, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 30, 2025
Tag 0744 D Mar 24, 2025

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

✓ Corrected: Apr 30, 2025
Tag 0835 F Mar 24, 2025

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Mar 25, 2025
Tag 0610 D Feb 24, 2025

Respond appropriately to all alleged violations.

✓ Corrected: Mar 21, 2025

2024 14 violations

Tag 0552 D Mar 20, 2024

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Apr 17, 2024
Tag 0561 D Mar 20, 2024

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Apr 17, 2024
Tag 0585 E Mar 20, 2024

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Apr 17, 2024
Tag 0603 D Mar 20, 2024

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

✓ Corrected: Apr 17, 2024
Tag 0688 D Mar 20, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Apr 17, 2024
Tag 0692 G Mar 20, 2024

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Apr 17, 2024
Tag 0697 D Mar 20, 2024

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Apr 17, 2024
Tag 0700 D Mar 20, 2024

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Apr 17, 2024
Tag 0726 E Mar 20, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Apr 17, 2024
Tag 0880 F Mar 20, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 17, 2024
Tag 0881 F Mar 20, 2024

Implement a program that monitors antibiotic use.

✓ Corrected: Apr 17, 2024
Tag 0883 E Mar 20, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Apr 17, 2024
Tag 0908 D Mar 20, 2024

Keep all essential equipment working safely.

✓ Corrected: Apr 17, 2024
Tag 0947 E Mar 20, 2024

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

✓ Corrected: Apr 17, 2024
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2023 2 violations

Tag 0689 G Nov 1, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 22, 2023
Tag 0883 E Sep 25, 2023

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Oct 30, 2023

2022 13 violations

Tag 0610 D Dec 8, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Jan 16, 2023
Tag 0641 D Dec 8, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Jan 16, 2023
Tag 0695 D Dec 8, 2022

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Jan 16, 2023
Tag 0755 D Dec 8, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jan 16, 2023
Tag 0759 D Dec 8, 2022

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jan 16, 2023
Tag 0881 D Dec 8, 2022

Implement a program that monitors antibiotic use.

✓ Corrected: Jan 16, 2023
Tag 0585 D Jun 30, 2022

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Aug 8, 2022
Tag 0610 D Jun 30, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Aug 28, 2022
Tag 0677 D Jun 30, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jul 30, 2022
Tag 0684 D Jun 30, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 30, 2022
Tag 0686 D Jun 30, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Jul 30, 2022
Tag 0550 G Mar 23, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Apr 18, 2022
Tag 0677 D Mar 23, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 22, 2022
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2021 7 violations

Tag 0561 D Sep 13, 2021

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Oct 13, 2021
Tag 0677 E Sep 13, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Oct 13, 2021
Tag 0688 E Sep 13, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Oct 13, 2021
Tag 0725 E Sep 13, 2021

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Oct 13, 2021
Tag 0726 D Sep 13, 2021

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Oct 13, 2021
Tag 0761 D Sep 13, 2021

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Oct 13, 2021
Tag 0880 E Sep 13, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 12, 2021

2020 3 violations

Tag 0880 D Aug 12, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 10, 2020
Tag 0880 E Jun 17, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 16, 2020
Tag 0880 E May 8, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 1, 2020
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2019 16 violations

Tag 0609 D Sep 23, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Oct 25, 2019
Tag 0610 G Sep 23, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Oct 22, 2019
Tag 0835 D Sep 23, 2019

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Oct 22, 2019
Tag 0867 D Sep 23, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

✓ Corrected: Oct 22, 2019
Tag 0550 D Jul 11, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Jul 29, 2019
Tag 0565 E Jul 11, 2019

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Aug 21, 2019
Tag 0684 D Jul 11, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jul 22, 2019
Tag 0689 D Jul 11, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 30, 2019
Tag 0692 G Jul 11, 2019

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Aug 20, 2019
Tag 0725 E Jul 11, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Aug 1, 2019
Tag 0759 D Jul 11, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Aug 21, 2019
Tag 0761 E Jul 11, 2019

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: Aug 21, 2019
Tag 0802 E Jul 11, 2019

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

✓ Corrected: Aug 15, 2019
Tag 0812 F Jul 11, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 21, 2019
Tag 0880 E Jul 11, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 21, 2019
Tag 0921 E Jul 11, 2019

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Aug 21, 2019

2018 7 violations

Tag 0550 E Apr 19, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: May 14, 2018
Tag 0584 E Apr 19, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: May 14, 2018
Tag 0686 D Apr 19, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 14, 2018
Tag 0689 G Apr 19, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 16, 2018
Tag 0761 E Apr 19, 2018

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

✓ Corrected: May 14, 2018
Tag 0812 E Apr 19, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 14, 2018
Tag 0880 E Apr 19, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 7, 2018
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2017 2 violations

Tag 0246 D Oct 17, 2017

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Nov 8, 2017
Tag 0441 D Oct 17, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Nov 28, 2017

2016 5 violations

Tag 0253 E Nov 21, 2016

Provide housekeeping and maintenance services.

✓ Corrected: Dec 12, 2016
Tag 0318 D Nov 21, 2016

Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.

✓ Corrected: Dec 12, 2016
Tag 0329 D Nov 21, 2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Dec 12, 2016
Tag 0363 F Nov 21, 2016

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.

✓ Corrected: Dec 13, 2016
Tag 0431 E Nov 21, 2016

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Dec 12, 2016
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