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Complaint Investigation

Mountain View Health Services

November 12, 2025 · Ogden, UT · 5865 South Wasatch Drive
Citations 1
Beds 155
Provider ID 465086
Healthcare Facility
Mountain View Health Services
Ogden, UT  ·  View full profile →
Inspection Summary

Mountain View Health Services in Ogden, UT — inspection on November 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.

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Inspection Findings

FF0627
Resident Rights Deficiencies
Actual Harm

DON stated a nurse to nurse form was not completed for resident 1.On 11/12/25 at 10:43 AM, an interview was conducted with LPN 1. LPN 1 stated that the staff were told not to let resident 1 back in the building by the DON. LPN 1 stated that herself and the two CNAs had to write a report of what had happened. LPN 1 stated that residen 1 was brought back to the facility so fast that the staff were questioning if the hospital did anything. LPN 1 stated the police and ambulance staff were banging on the facility door. LPN 1 stated the Administrator and DON showed up to the facility. LPN 1 stated it was very scary because resident 1 was really mad and banging things. LPN 1 stated that resident 1 was going around the nurses station and knocking things on the floor. LPN 1 stated the police were banging on the door and that was very scary so she called 911.On 11/12/25 at 11:06 AM, an interview was conducted with the Administrator (ADM).

The ADM stated that usually as a respite the hospice would deliver their ekit and the ekit never showed up for resident 1.

The ADM stated that after the family signed the admission packet the family said good luck on the way out of resident 1's room.

The ADM stated resident 1 was not their resident because she was respite.

The ADM stated the facility was paid room and board for a hospice resident at the facility for a respite.

The ADM stated the staff would administer medications but the hospice would bring in the medications.

The ADM stated resident 1 had escalated and the nurse called him to tell him resident 1 was running around the nurses station and the staff had boxed themselves into the nurses station with the medication carts to protect themselves.

The ADM stated the staff called 911 when resident 1 started swinging the wc foot rest.

The ADM stated that paperwork was sent with EMS.

The ADM stated when resident 1 returned to the facility the nurse was reluctant to take resident 1 back because resident 1 was treated for something different at the hospital.

The ADM stated the police were demanding that we bring resident 1 back in the facility.

The ADM stated the police sergeant, EMS. and fire department were at the facility when he arrived.

The ADM stated at the end of everything the hospice nurse showed up.

The ADM stated after speaking with the nurse he realized there was a communication break down.

The ADM stated that resident 1 was not super reasonable and the nurse did not want to bring her back in the facility.

The ADM stated they agreed to bring resident 1 back in and that was when the fire department decided not to leave resident 1.

Facility ID:

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 Ogden, UT, (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 Health Services or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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