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Deficiency Records for Mission Skilled Nursing and Subacute Center
A list of the most recent deficiencies for Mission Skilled Nursing and Subacute Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Mission Skilled Nursing and Subacute Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-30 | 2024-06-24 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-02-08 | 2024-03-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-02-08 | 2024-03-08 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-13 | 2024-03-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-13 | 2024-03-05 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-13 | 2024-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-13 | 2024-03-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-13 | 2024-03-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-13 | 2024-03-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-13 | 2024-03-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-02-13 | 2024-03-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-26 | 2023-10-26 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-09-26 | 2023-10-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-24 | 2023-06-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-16 | 2022-12-27 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-06-10 | 2022-06-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-11 | 2021-07-23 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-06-11 | 2021-07-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-11 | 2021-07-23 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-06-11 | 2021-07-23 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-06-11 | 2021-07-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-11 | 2021-07-23 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-06-11 | 2021-07-23 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-06-11 | 2021-07-23 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-06-11 | 2021-07-23 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-06-11 | 2021-07-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-06-11 | 2021-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-11 | 2021-07-23 | N |
| Dispose of garbage and refuse properly. | Health | 2021-06-11 | 2021-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-11 | 2021-07-23 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-06-11 | 2021-07-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-11 | 2021-07-23 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-17 | 2021-07-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-17 | 2021-07-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-17 | 2021-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-17 | 2021-07-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-17 | 2021-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-17 | 2021-07-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-17 | 2021-07-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-17 | 2021-07-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-17 | 2021-07-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-09-24 | 2019-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-24 | 2019-10-07 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-09-24 | 2019-10-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-09-24 | 2019-10-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-24 | 2019-10-07 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-08-08 | 2019-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-08 | 2019-09-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-08 | 2019-09-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-08 | 2019-09-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-08 | 2019-09-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-08 | 2019-09-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-08-08 | 2019-09-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-08 | 2019-09-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-08 | 2019-09-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-08 | 2019-09-19 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-08-08 | 2019-09-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-08-08 | 2019-09-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-08-08 | 2019-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-08 | 2019-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-09-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-08-08 | 2019-09-19 | N |
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