Facility Assessment Lacked Unit-Specific Staffing Needs
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to ensure that its facility-wide assessment included specific staffing needs for each resident unit for a census of 68 residents. Record review of the Mountain Ridge Facility Assessment for 2025 showed that staffing requirements were listed only in aggregate for the entire facility, specifying total hours for RN/LPN and LNA staff per shift, but did not break down staffing needs by individual resident units. Further review confirmed that the assessment did not address unit-specific requirements. During an interview, the Administrator acknowledged that the facility assessment did not consider the needs of each resident unit.