Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Mountain View Manor

PRESCOTT, AZ · 116 certified beds · Last Life Safety survey February 28, 2025

CMS Certification Number 035114 · first certified June 1985

Ownership

Operated by CIRCLE B ENTERPRISES · For profit - Individual

No change of ownership on CMS record since January 1, 2016, when the records begin.

35
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
16
Inspection & testing records
Of the citations on file

Position within AZ

35 citations — more than 98% of the 140 certified nursing homes in AZ. Compared within AZ rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 15 citations; the earlier surveys in the window averaged 10. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: May 2026 to January 2027. This facility’s last Life Safety survey was February 2025. Facilities in AZ are typically surveyed 14–22 months after the last one (median 18), measured over 143 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

13 of the 35 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 35 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in AZ, and nationally. Surveyors differ markedly between states, so the AZ figure is the meaningful one.

This facility35AZ median8National median11
Citations on file over three years, compared
MeasureCitations
This facility35
Median facility in AZ8
Median facility nationally11

Survey history

Citations at each Life Safety survey
122022-0182023-02152025-02
Citations at each Life Safety survey
Survey dateCitations
January 7, 202212
February 22, 20238
February 28, 202515

Most-cited tags

Most-cited tags at this facility
E-00393K-03633K-03723K-03532K-03252E-00262E-00301K-03451
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0039Conduct testing and exercise requirements.32025-02-28
K-0363Install corridor and hallway doors that block smoke.32025-02-28
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.32025-02-28
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-02-28
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.22023-02-22
E-0026Establish roles under a Waiver declared by secretary.22025-02-28
E-0030List the names and contact information of those in the facility.12025-02-28
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-02-28

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 15
  • Emergency Preparedness Deficiencies 13
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Services Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies15
Emergency Preparedness Deficiencies13
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies2
Miscellaneous Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 28, 2025 — 15 citations

Citations issued on February 28, 2025
TagWhat the surveyor checksStatus
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (April 25, 2025)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (April 25, 2025)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (April 25, 2025)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 25, 2025)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (April 25, 2025)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (April 25, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 25, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 25, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 25, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 25, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 25, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (April 25, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 25, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 25, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (April 25, 2025)

February 22, 2023 — 8 citations

Citations issued on February 22, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Past Non-Compliance (February 18, 2022)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 15, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 15, 2023)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Past Non-Compliance (February 18, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 15, 2023)
K-0363Install corridor and hallway doors that block smoke.Past Non-Compliance (February 18, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Past Non-Compliance (February 18, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 15, 2023)

January 7, 2022 — 12 citations

Citations issued on January 7, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (February 28, 2022)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (February 28, 2022)
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (February 28, 2022)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (February 28, 2022)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (February 28, 2022)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (February 28, 2022)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (February 28, 2022)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (February 28, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 28, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 28, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 28, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 28, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.