All citations for Mountains Community Hosp DP/SNF

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 Mountains Community Hosp DP/SNF

Last standard health inspection on record

July 30, 2026

Showing 1 to 23 of 23 citations

No harm, with potential for more than minimal harm
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0352, Smoke Deficiencies. Inspection of July 30, 2026. Found during a standard inspection.
No plan of correction on record.
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 July 30, 2026. Found during a standard inspection.
No plan of correction on record.
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 30, 2026. Found during a standard inspection.
No plan of correction on record.
No harm, with potential for more than minimal harm
Have power receptacles that are properly grounded.
Widespread (many residents). CMS level F.
Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 30, 2026. Found during a standard inspection.
No plan of correction on record.
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 July 30, 2026. Found during a standard inspection.
No plan of correction on record.
No harm, with potential for more than minimal harm
Establish policies and procedures for sheltering.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).
No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).
No harm, with potential for more than minimal harm
Provide family notifications of emergency plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).
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 March 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).
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 March 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).
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 March 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).
No harm, with potential for more than minimal harm
Have properly installed hallway dispensers for alcohol-based hand rub.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0325, Smoke Deficiencies. Inspection of July 30, 2026. Found during a standard inspection.
No plan of correction on record.
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of July 30, 2026. Found during a standard inspection.
No plan of correction on record.
No harm, with potential for more than minimal harm
Use approved construction type or materials.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0161, Construction Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 18, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 18, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 2, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 19, 2025).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 19, 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.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 29, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 29, 2024).

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.