All citations for Mountain Villa Nursing Home

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Mountain Villa Nursing Home

Last standard health inspection on record

December 4, 2025

Showing 1 to 25 of 52 citations

No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Establish procedures for tracking staff and patients during an emergency.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Develop a communication plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 4, 2026).
No harm, with potential for more than minimal harm
Meet other general requirements that are deficient.
Widespread (many residents). CMS level F.
Fire safety citation K-0300, Egress Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 4, 2026).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 11, 2024).
No harm, with potential for more than minimal harm
Have restrictions on the use of flammable curtains.
Widespread (many residents). CMS level F.
Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (October 11, 2024).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 30, 2025).
No harm, with potential for more than minimal harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Pattern (more than a few residents). CMS level E.
Health citation F-0940, Administration Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 30, 2025).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0343, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 4, 2026).
No harm, with potential for more than minimal harm
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0361, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Install properly constructed windows in hallway walls or doors.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0364, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of December 4, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (May 10, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.