Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Springs Of Mt Vista during CMS and state inspections, most recent first.
The facility failed to implement consistent nutritional interventions for three residents, leading to significant weight loss. Despite being on therapeutic diets, the residents did not receive adequately fortified meals due to the absence of proper recipes and measurements. The Dietary Manager lacked certification and training, and the Registered Dietician did not participate in weight loss meetings, contributing to the deficiency.
The facility failed to renew its CLIA Certificate of Waiver, which had expired, yet continued to perform waived laboratory tests such as blood glucose monitoring. An LPN conducted a blood glucose test on a resident despite the expired certificate. The DON mistakenly identified the expired certificate as current, and although the Administrator provided proof of payment for renewal, the updated certificate had not been received.
The facility failed to maintain Legionella surveillance as part of its water management plan, with the Maintenance Supervisor unaware of necessary temperature controls and plumbing diagrams. Additionally, a refrigerator on the F Hall used by both staff and residents was found to have unsanitary conditions, with items not labeled and a mix of personal and resident items stored together. The facility lacked a policy for the storage of foods and beverages, contributing to the observed deficiencies in infection control practices.
The facility failed to provide prescribed enhanced/fortified diets to several residents with medical conditions such as dementia and malnutrition. Observations revealed inconsistencies in meal preparation, with residents not receiving the correct dietary supplements. The Dietary Manager admitted to not having specific menus or recipes for fortified diets, leading to inadequate nutritional support for residents.
The facility failed to provide physician-ordered diets to three residents, leading to deficiencies in dietary management. A resident with severe cognitive impairment did not receive the prescribed ice cream, another resident did not receive the correct number of house shakes, and a third resident did not receive double portions of breakfast as ordered. These oversights were acknowledged by the Dietary Manager and contradicted the Registered Dietician's guidance.
The facility's dietary staff failed to follow proper hand hygiene and equipment maintenance protocols, leading to potential cross-contamination. Dietary staff did not wash hands or change gloves after handling soiled items or touching potentially contaminated surfaces before preparing resident meals. Additionally, a cracked blender was used, and artificial nails were worn, contrary to facility policy.
The facility failed to allocate interest earned on personal funds for several residents, violating their right to manage their financial affairs. Despite earning interest on the Resident Fund Trust Account, the facility did not distribute it properly, with some residents receiving no interest payments. The Business Office Manager's explanation of interest allocation based on averages contradicted the requirement for prorated distribution.
The facility failed to maintain a clean and safe environment, with dirty trays and trash left in the dining room and a pill found on a resident's floor. The dining room was not cleaned due to a housekeeping aide's inability to retrieve a cleaning cart, and the aide was later terminated for performance issues. A pill belonging to a resident's absent roommate was found on the floor, with no documentation of its loss, violating the facility's medication disposal policy.
A facility failed to accurately complete an MDS assessment for a resident, resulting in an outdated pneumonia diagnosis. The resident was not receiving treatment for pneumonia during the assessment period, indicating the diagnosis should have been resolved. Interviews revealed a lack of formal procedures for MDS assessments, relying instead on the RAI Manual, which led to inconsistencies in updating resident diagnoses.
A resident with mental health and stress disorders did not have an accurate care plan addressing their diagnoses, despite being on psychotropic medications. Facility staff interviews revealed a lack of specific procedures for completing care plans, leading to a deficiency in meeting the resident's comprehensive needs.
A facility failed to include a cognitively impaired resident's representative in care plan meetings, violating its policy on person-centered care plans. Despite the resident's moderate cognitive impairment, the Social Services Director did not notify the Power of Attorney (POA) about meetings, leading to the POA's confusion about the care process and lack of communication regarding medication and fall prevention.
Failure to Implement Nutritional Interventions
Penalty
Summary
The facility failed to consistently implement interventions to prevent further potential weight loss for three residents reviewed for nutritional status. Resident #8, who had severe protein-calorie malnutrition and other medical conditions, experienced a significant weight loss of 14.8% over several months. Despite being on a therapeutic diet, there was uncertainty about whether the food provided was adequately fortified, as evidenced by the absence of a red bowl indicating enhanced food on the resident's lunch tray. The Dietary Manager confirmed that there were no fortified recipes, and the process of fortifying food was inconsistent and lacked precise measurements. Resident #47, diagnosed with dementia, cirrhosis of the liver, and other conditions, also experienced significant weight loss. The resident's care plan included a regular enhanced diet, but observations revealed that the lunch tray did not contain the necessary fortified items. The Registered Dietician, who was not a full-time employee, did not participate in meetings for significant weight loss and only approved menus, leaving the responsibility of recipes to the Dietary Manager. The lack of fortified recipes and the Dietary Manager's lack of certification or specialized training in nutrition contributed to the deficiency. Resident #5, with a history of dementia, experienced a significant weight loss of 19.16% over six months. Despite being on a regular enhanced diet, the resident's care plan and physician orders were not effectively implemented. The resident was noted to be independent in eating, yet the facility concluded the weight loss was unavoidable due to dementia and refusal of care. The Dietary Manager's inconsistent approach to fortifying food, without proper recipes or measurements, further exacerbated the issue, leading to the deficiency in providing adequate nutrition to the residents.
Expired CLIA Certificate of Waiver
Penalty
Summary
The facility failed to ensure the renewal of its Centers for Medical & Medicaid Services Clinical Laboratory Improvement Amendments (CLIA) Certificate of Waiver (COW), which had expired. This certificate is necessary for the facility to legally perform waived laboratory tests, which are defined as tests with an insignificant risk of erroneous results. These tests include SARS-COV-2 (COVID), Influenza A/B, gastric occult blood, and glucose monitoring. During an observation, an LPN performed a blood glucose test on a resident using a glucose monitoring device, despite the facility's CLIA certificate being expired. Further investigation revealed that the CLIA certificate displayed in the medication room had an expired date, and the Director of Nursing mistakenly identified it as the updated certificate. The facility had a CLIA Laboratory User Fees document with a billing date and a note indicating that if full payment is not received before the start of the certificate period, the current certificate would expire, and testing could not legally be performed. The Administrator later provided evidence of payment for the renewal fee, but the renewed certificate had not yet been received by mail.
Deficiencies in Legionella Surveillance and Refrigerator Sanitation
Penalty
Summary
The facility failed to maintain Legionella surveillance as part of its water management plan, which is crucial for reducing the risk of bacteria in the water system. The Maintenance Supervisor (MS) was only monitoring the hot water temperature of every hall, with the hot water heaters set at 110 degrees Fahrenheit, which is below the recommended temperature for controlling Legionella growth. The MS was unaware of a diagram mapping the plumbing and water flow of the building, and there was no knowledge of identified areas of concern such as stagnated water. The MS had limited training and was unable to locate documentation of water testing conducted by the city earlier in the year. Additionally, the facility failed to maintain sanitary conditions in a refrigerator located on the F Hall, which was used by both staff and residents. Items in the refrigerator were not labeled for identification, and there was a mix of personal and resident items, including breast pumps with a substance in the bottom. Interviews with staff, including CNAs, LPNs, and the Activity Director, revealed that there was a lack of understanding and adherence to proper storage practices, with some staff acknowledging the risk of contamination from storing staff and resident items together. The facility did not have a policy or procedure in place for the storage of resident and staff foods and beverages, which contributed to the unsanitary conditions observed. The Director of Nursing and a consultant confirmed the absence of such a policy, and it was only after the surveyor's inquiry that an outline for storage was provided. The lack of a clear policy and the improper use of shared refrigeration space posed a risk of contamination, highlighting deficiencies in infection control practices within the facility.
Failure to Provide Prescribed Nutritional Diets
Penalty
Summary
The facility failed to provide diets based on the nutritional needs of six residents, as observed during a survey. These residents, who had various medical conditions such as dementia, malnutrition, and weight loss, were not receiving the enhanced or fortified diets as ordered by their physicians. For instance, Resident #14, who had severe cognitive impairment and significant weight loss, was supposed to receive a fortified pureed diet with specific supplements like ice cream and peanut butter. However, during an observation, it was noted that the resident did not receive the prescribed vanilla ice cream and instead was given lime sherbet, which was not part of the dietary order. The Dietary Manager admitted to not having specific menus or recipes for fortified diets and was uncertain about the caloric content of the foods being served. The manager stated that the facility's approach to fortifying foods involved adding butter, cheese, or milk to certain items without precise measurements. This lack of structured dietary planning led to inconsistencies in the meals provided to residents, as seen with Resident #27, who did not receive the ordered biscuits and gravy for breakfast due to a lack of ingredients, and Resident #8, whose tray lacked the designated fortified food item. The Registered Dietician, who was not a full-time employee, confirmed that she only approved menus and was not involved in the facility's weight loss meetings. She was unaware of the facility's house shake recipe and emphasized the importance of following dietary orders to help residents gain weight. The facility's failure to adhere to prescribed dietary plans and the absence of fortified food recipes contributed to the nutritional deficiencies observed among the residents.
Failure to Provide Physician-Ordered Diets
Penalty
Summary
The facility failed to ensure that physician-ordered foods were provided to three residents, leading to deficiencies in dietary management. Resident #14, who had severe cognitive impairment and was on a fortified, mechanically altered, pureed diet, did not receive the prescribed ice cream at lunch. Instead, the resident was given lime sherbet due to a reported shortage of ice cream, despite the availability of vanilla and chocolate ice cream in the facility. This substitution was not in accordance with the physician's orders, which specified vanilla ice cream. Resident #4, also with severe cognitive impairment, was supposed to receive two house shakes with meals as part of their dietary plan to address weight loss. However, the resident was only provided with a shake containing one carton of the house shake, contrary to the physician's orders. The Dietary Manager acknowledged the oversight and admitted that the meal card order was unclear, resulting in the resident not receiving the correct supplements. Resident #27, diagnosed with moderate protein-calorie malnutrition and other conditions, was ordered to receive double portions of biscuits and gravy at breakfast. However, during meal service, the resident did not receive the double portions as prescribed. The Dietary Manager decided not to provide extra desserts, believing the calories in the food were sufficient, which contradicted the Registered Dietician's statement that double portions should include all foods, including desserts, to help the resident gain weight.
Improper Hand Hygiene and Equipment Use in Dietary Department
Penalty
Summary
The facility failed to ensure proper hand hygiene and equipment maintenance in the dietary department, leading to potential cross-contamination. During observations, Dietary Aid #9 was seen handling clean dishes without washing her hands after dealing with dirty dishes, and she was noted to have artificial nails, which are against facility policy. Dietary [NAME] #10 repeatedly failed to change gloves and wash hands after touching potentially contaminated surfaces, such as clothing, dish racks, and electrical cords, before handling food for resident meals. Additionally, [NAME] #10 used a cracked blender, which could harbor contaminants, during food preparation. Dietary [NAME] #7 also demonstrated improper hand hygiene by not washing hands or changing gloves after touching his pant leg before handling food. The facility's policies on hand washing and staff attire were not adhered to, as staff did not wash hands after touching parts of the body or soiled equipment, and artificial nails were worn by food preparation staff. These actions and inactions by the dietary staff led to the deficiency in maintaining professional standards for food safety and hygiene.
Failure to Allocate Interest on Resident Funds
Penalty
Summary
The facility failed to pay interest earned on personal funds for five residents, violating their right to manage their financial affairs. The facility's April, May, and June bank statements showed that interest was earned on the Resident Fund Trust Account, but the interest was not properly allocated to all residents. Specifically, residents with balances ranging from $100.00 to $483.77 did not receive any interest payments for the months reviewed. The facility's Resident Fund Management Service statements revealed discrepancies in interest allocation, with some interest amounts not being distributed to any residents. During a phone interview, the Regional Business Office Manager acknowledged that interest should have been paid to the affected residents. However, the Business Office Manager explained that their system allocated interest based on averages, which did not guarantee that every resident received interest. This explanation was inconsistent with the requirement that interest must be prorated per individual based on actual earnings or end-of-quarter balance. The facility's failure to allocate interest properly resulted in a deficiency in managing residents' personal funds.
Deficiencies in Cleanliness and Medication Management
Penalty
Summary
The facility failed to maintain a clean, safe, and sanitary environment for its residents, as evidenced by observations in the dining room and a resident's room. During an early morning observation, a resident was found sitting in the dining room surrounded by dirty dinner trays, food, and trash on the floor. The Dietary Manager confirmed that the dining room was supposed to be cleaned by housekeeping every evening. However, the Housekeeping Supervisor revealed that the housekeeping aide assigned to clean the dining room was unable to retrieve the cleaning cart and failed to pick up the trash. The Administrator later stated that the housekeeping aide had been terminated due to preexisting job performance issues. Additionally, a surveyor observed a pill on the floor of a resident's room, which the resident stated did not belong to them. The resident had a medical history of recurrent depressive disorders, generalized anxiety disorder, and somnolence. A registered nurse identified the pill as a medication used to reduce stomach acid, belonging to the resident's roommate, who had been absent from the room for two days. There was no documentation indicating that a pill had been lost, and the facility's policy on discarding and destroying medications was not followed, as non-controlled substances should be disposed of in a collection receptacle.
Inaccurate MDS Assessment for Resident Diagnosis
Penalty
Summary
The facility failed to ensure an accurate Minimum Data Set (MDS) assessment for a resident, leading to a deficiency in the accuracy of the resident's diagnosis. The resident was admitted with a diagnosis of pneumonia, but the MDS assessment conducted later did not accurately reflect the resident's current condition, as the pneumonia diagnosis should have been resolved. The MDS/Care Plan Coordinator acknowledged that the resident was not receiving medication for pneumonia and did not have a current infection during the look-back period, indicating that the diagnosis was outdated. Interviews with facility staff revealed a lack of a formal policy or procedure for completing MDS assessments and care plans. The MDS/Care Plan Coordinator and the Director of Nursing both indicated that assessments should be completed accurately and in a timely manner, but there was no structured process in place. The facility relied on the RAI Manual for guidance, but this did not translate into a consistent practice for updating resident diagnoses in the MDS, leading to the oversight in the resident's assessment.
Inaccurate Care Plan for Resident with Mental Health Disorders
Penalty
Summary
The facility failed to ensure an accurate care plan for a resident who was reviewed for a comprehensive care plan. The resident, who was cognitively intact, had active diagnoses including mental health and stress disorders such as depression, mania, hallucinations, delusions, restlessness, and decision-making ability. Despite these diagnoses, the care plan did not address these mental health and stress disorders. The resident was receiving psychotropic medications and was to be monitored for side effects, but the care plan lacked the necessary details to address these needs. Interviews with facility staff revealed that care plans were developed as part of the Minimum Data Set (MDS) on admission, with the nurse responsible for completing the initial assessment. However, there was no specific policy or procedure for completing the care plan or MDS. The MDS/CP Coordinator used various resources to prepare the care plan, but the care plan for this resident was not updated to reflect their needs accurately. The Administrator and Director of Nursing emphasized the importance of accurate assessments to guide care, but the deficiency indicates a lapse in ensuring the care plan met the resident's comprehensive needs.
Failure to Include Resident's Representative in Care Plan Meetings
Penalty
Summary
The facility failed to include a cognitively impaired resident's representative in the care plan meetings, which is a violation of the facility's policy on comprehensive person-centered care plans. The policy requires the interdisciplinary team to develop and implement the care plan in conjunction with the resident or their representative, ensuring their participation in planning and decision-making. Despite this requirement, the facility did not involve the resident's Power of Attorney (POA) in the care planning process, as evidenced by the lack of documentation in the resident's Electronic Health Record (EHR) and the POA's statement of being unaware of care plan meetings. The resident in question was admitted with diagnoses including senile degeneration of the brain and dementia, with a consistent BIMS score indicating moderate cognitive impairment. The Social Services Director (SSD) failed to notify the POA about care plan meetings, as attempts to contact the POA were not documented, and no notification letter was sent. The SSD admitted to forgetting to document these attempts and to mail the notification letter. Consequently, the POA expressed confusion about the long-term care process and a lack of communication regarding medication changes and fall prevention, highlighting the facility's failure to adhere to its care planning policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Harrison
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Springs Of Harrison | 0.1 mi | ★★★★★ | 0 | 0 |
| Hillcrest Home | 1.1 mi | ★★★★★ | 0 | 0 |
| Countryside Health & Rehab Of Newton County | 16.9 mi | ★★★★★ | 0 | 0 |
| Creekside At The Springs | 24.5 mi | ★★★★★ | 0 | 0 |
| The Blossoms At Berryville Rehab & Nursing Center | 25.2 mi | ★★★★★ | 16 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.