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Deficiency Records for Mission Hills Post Acute Care

A list of the most recent deficiencies for Mission Hills Post Acute Care. 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 Hills Post Acute Care. 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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-02 2024-07-26 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-17 2024-04-30 Y
Provide and implement an infection prevention and control program. Health 2024-04-17 2024-04-30 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-03-14 2024-03-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-14 2024-03-21 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 2024-03-14 2024-03-21 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-03-14 2024-03-21 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-03-24 2022-04-23 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-02-10 2022-03-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-10 2022-03-14 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-02-10 2022-03-14 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-02-10 2022-03-14 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-01-27 2022-02-24 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 2022-01-27 2022-02-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-27 2022-02-24 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 2022-01-27 2022-02-24 N
Provide enough food/fluids to maintain a resident's health. Health 2022-01-27 2022-02-24 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 2022-01-27 2022-02-24 N
Ensure medication error rates are not 5 percent or greater. Health 2022-01-27 2022-02-24 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-01-27 2022-02-24 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2022-01-27 2022-02-24 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 2022-01-27 2022-02-24 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-01-27 2022-02-24 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2022-01-27 2022-02-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-01-27 2022-02-24 N
Have exits that are accessible at all times. Fire Safety 2022-01-31 2022-02-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-01-31 2022-02-10 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-01-31 2022-02-10 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-01-31 2022-02-10 N
Have proper medical gas storage and administration areas. Fire Safety 2022-01-31 2022-02-10 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2021-11-23 2021-12-21 Y
Ensure medical gas and vacuum systems have documented maintenance programs. Fire Safety 2019-11-04 2019-11-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-11-04 2019-11-19 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 2019-10-10 2019-11-10 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-10-10 2019-11-10 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2019-10-10 2019-11-10 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2019-10-10 2019-11-10 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 2019-10-10 2019-11-10 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 2019-10-10 2019-11-10 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2019-10-10 2019-11-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-10 2019-11-10 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2019-10-10 2019-11-10 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-10-10 2019-11-10 N
Provide and implement an infection prevention and control program. Health 2019-10-10 2019-11-10 N
Provide properly protected cooking facilities. Fire Safety 2018-12-10 2019-01-04 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2018-12-10 2019-01-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-12-10 2019-01-04 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-12-10 2019-01-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-12-10 2019-01-04 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2018-12-10 2019-01-04 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2018-10-04 2018-11-01 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2018-10-04 2018-11-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-10-04 2018-11-01 N
Provide appropriate foot care. Health 2018-10-04 2018-11-01 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2018-10-04 2018-11-01 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2018-10-04 2018-11-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-10-04 2018-11-01 N
Provide and implement an infection prevention and control program. Health 2018-10-04 2018-11-01 N

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