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Complaint Investigation

Mountain View Rehabilitation And Senior Living Ctr

February 26, 2026 · Coal Township, PA · 2050 Trevorton Road
Citations 3
CMS Rating 1/5
Beds 271
Provider ID 395045
Healthcare Facility
Mountain View Rehabilitation And Senior Living Ctr
Coal Township, PA  ·  View full profile →
Inspection Summary

MOUNTAIN VIEW REHABILITATION AND SENIOR LIVING CTR in COAL TOWNSHIP, PA — inspection on February 26, 2026.

Found 3 citations. 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.

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Inspection Findings

FF0559
Resident Rights Deficiencies

The facility failed to provide a written notice of a room move that included the reason for the room move to Residents CR2 and 3, and their family/responsible parties.

The Nursing Home Administrator and Director of Nursing were made aware of the concerns related to room moves for Residents CR2 and 3 during a meeting on February 26, 2026, at 2:15 PM. 28 Pa.

Code 201.14(a) Responsibility of licensee 28 Pa.

Code 211.12(d)(5) Nursing services Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

395045 02/26/2026

Mountain View Rehabilitation and Senior Living Ctr 2050 Trevorton Road Coal Township, PA 17866

(injury/decline/room, etc.) that affect the resident.

clinical record review and staff interview, it was determined that the facility failed to notify the

reviewed (Resident CR2).

Findings include: Clinical record review revealed the facility admitted Resident CR2 on [DATE].

Nursing documentation dated [DATE], at 11:03 AM noted the facility received a call from dialysis noting Resident CR2 complained of weakness prior to hemodialysis (medical treatment that filters waste and excess fluids from the blood when the kidneys can no longer perform this function effectively).

Documentation revealed Resident CR2's fasting blood sugar (measures the amount of glucose in your bloodstream, when it is at its lowest) was 48 (generally recommended to be between 70 and 180 milligrams per deciliter).

Resident CR2 was sent to the emergency room for evaluation.

Further review of Resident CR2's closed clinical record revealed nursing documentation dated [DATE], at 11:30 AM noting the facility received a call from the physician at the emergency room, and all questions were answered. emergency room physician informed the nurse that Resident CR2's blood sugars and blood pressures were rising and dropping.

Nursing documentation dated February 4, 2026, at 5:31 PM noted Resident CR2 remained hospitalized .

Nursing documentation dated February 6, 2026, at 4:45 PM noted Resident CR2 expired at the hospital.

There was no documented evidence that the facility notified Resident CR2's responsible party of his significant change in condition and admission to the hospital.

Interview with the Nursing Home Administrator and Director of Nursing on February 26, 2026, at 2:30 PM confirmed the above findings for Resident CR2. 28 Pa.

Code 211.12(d)(1)(3)(5) Nursing services

395045 02/26/2026

Mountain View Rehabilitation and Senior Living Ctr 2050 Trevorton Road Coal Township, PA 17866

Review of Employee 1's (nurse aide) witness statement revealed Resident CR1 stated he took Resident CR1's shirt and pants off and then took his own pants off.

When Employee 1 asked Resident CR1 if he had sexual intercourse, Resident CR1 stated Resident 8 would not spread her legs, so he rubbed his penis on her side.

Review of Resident 8's clinical record on February 26, 2026, revealed there was no nursing assessment of Resident 8 after the resident-to-resident sexual abuse allegation, prior to her transfer to the hospital on February 3, 3036.

Review of Resident 8's clinical record revealed nursing documentation dated February 4, 2026, at 2:26 PM noting Resident 8 returned from the hospital from overnight observation at the emergency room.

Review of hospital documentation revealed Resident 8 was admitted for possible evaluation of sexual assault There was no documentation in Resident 8's clinical record relating to the above-mentioned incident.

Review of documentation provided to Department of Health through the Event Reporting System dated February 16, 2026, revealed Resident 2 was sleeping in her geri-lounger in the common area when Resident 1 was observed rubbing Resident 2's genital area, on top of her clothing.

Review of Resident 1's clinical record revealed social service documentation dated February 16, 2026, at 10:16 AM noting social services received a notice from the interdisciplinary team to follow up with Resident 1 due to recent behaviors that occurred.

There was no documentation in Resident 1's clinical record relating to the above-mentioned incident.

The facility failed to ensure clinical records were complete and accurate.

The above information for Residents 1, 2, 8, and CR1 was reviewed with the Nursing Home Administrator and Director of Nursing on February 26, 2026, at 2:28 PM. 483.70(h) Medical RecordsPreviously cited deficiency 5/28/2025 28 Pa.

Code 211.5(i) Medical records 28 Pa.

Code 211.12(d)(1)(3)(5) Nursing services

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 COAL TOWNSHIP, PA, (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 REHABILITATION AND SENIOR LIVING CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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