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Complaint Investigation

Mountain View Post Acute

Inspection Date: November 20, 2025
Total Violations 2
Facility ID 505263
Location ELLENSBURG, WA
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Inspection Findings

F-Tag F0688

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0688 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

09/29/2025 the ROM program had not been signed as completed. Resident 2Review of the resident's medical record showed they were admitted to the facility with diagnoses which included a history of a stroke with left side paralysis and dysphagia (difficulty swallowing). Review of the comprehensive assessment dated [DATE REDACTED] showed the resident had impaired cognition and was dependent on staff for grooming, eating, dressing, mobility and transfers. Review of the residents September 2025 Kardex showed

they had a daily ROM and left-hand splinting program to prevent stiffness and contractures. Further review of the programs showed 14 of 30 days without signatures to indicate completion of the programs on 09/04/2025, 09/05/2025. 09/07/2025, 09/08/2025, 09/14/2025, 09/15/2025. 09/16/2025 09/17/2025, 09/18/2025, 09/21/2025, 09/22/2025, 09/26/2025, 09/28/2025 and 09/29/2025. During an interview on 09/29/2025 at 10:30 AM, a Collateral Contact stated Resident 2's left hand splint was often dirty and the palm of their had had an odor related lack of care to the area. Review of Resident 2's September 2025 Kardex showed the resident had a restorative nursing program which included ROM to the left arm and hand, and a splinting program to include placing the resident's hand and placing a soft splint on daily in the morning and removing it at bedtime to replace it with a full splint with finger separators worn at night.

Further review of the record showed the restorative nursing programs were not completed on 09/04/2025, 09/05/2025. 09/07/2025, 09/08/2025, 09/14/2025, 09/15/2025, 09/16/2025, 09/17/2025, 09/18/2025, 09/21/2025, 09/22/2025, 09/26/2025, 09/28/2025 and 09/29/2025 (14 out of 30 days were missed). During

an interview on 09/30/2025 at 1:24 PM, Staff B, RNA, stated I do my best to get them done. Staff B stated

the reason the programs were not done daily was because they were often pulled to the floor to work and were unable to complete the restorative programs. Additionally, they stated on their days off or when they were on vacation there was no one to cover the programs. During an interview on 09/30/2025 at 2:40 PM, Staff A, Director of Nursing, stated they were aware that the ROM programs were not being consistently completed related to not having enough staff, and that the facility was working on it. Reference WAC [PHONE NUMBER]60(3)(d)

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

11/20/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Mountain View Post Acute

1050 E Mountain View Ellensburg, WA 98926

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited MOUNTAIN VIEW POST ACUTE in ELLENSBURG, WA for a deficiency under regulatory tag F-F0880 during a complaint investigation conducted on 2025-11-20.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of MOUNTAIN VIEW POST ACUTE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

📋 Inspection Summary

MOUNTAIN VIEW POST ACUTE in ELLENSBURG, WA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 ELLENSBURG, WA, (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 POST ACUTE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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