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Deficiency Records for Mesun Health and Rehabilitation Center
A list of the most recent deficiencies for Mesun Health and Rehabilitation 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 Mesun Health and Rehabilitation 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-07-18 | 2024-09-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-18 | 2024-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-18 | 2024-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-09-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-07-18 | 2024-08-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-18 | 2024-08-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-18 | 2024-08-30 | N |
| Meet other general requirements. | Fire Safety | 2024-07-18 | 2024-08-30 | 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 | 2024-07-18 | 2024-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-18 | 2024-08-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-18 | 2024-08-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-18 | 2024-08-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-18 | 2024-08-30 | 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 | 2022-05-25 | 2022-07-29 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-05-25 | 2022-07-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-25 | 2022-07-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-25 | 2022-07-29 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-25 | 2022-07-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-25 | 2022-07-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-25 | 2022-07-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-25 | 2022-07-29 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-05-25 | 2022-07-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-25 | 2022-07-29 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-05-25 | 2022-07-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-25 | 2022-07-29 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-25 | 2022-07-29 | Y |
| Report COVID19 data to residents and families. | Health | 2022-05-25 | 2022-07-29 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-25 | 2022-07-29 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-05-23 | 2022-07-29 | N |
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