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Deficiency Records for Mason Health Care Center
A list of the most recent deficiencies for Mason Health Care 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 Mason Health Care 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-17 | 2024-10-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-17 | 2024-10-21 | 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 | 2024-08-30 | 2024-09-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-08-30 | 2024-09-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-30 | 2024-09-26 | 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 | 2024-08-30 | 2024-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-30 | 2024-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-30 | 2024-09-26 | N |
| Respond appropriately to all alleged violations. | Health | 2023-12-28 | 2024-01-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-28 | 2024-01-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-22 | 2023-10-31 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-22 | 2023-10-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-22 | 2023-10-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-22 | 2023-10-31 | Y |
| Provide appropriate foot care. | Health | 2023-09-22 | 2023-10-31 | Y |
| 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 | 2023-09-22 | 2023-10-31 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-22 | 2023-10-31 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-22 | 2023-10-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-22 | 2023-10-31 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-02 | 2023-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-02 | 2023-10-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-10-02 | 2023-10-30 | N |
| Meet other general requirements. | Fire Safety | 2023-08-23 | 2023-09-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-02 | 2022-12-04 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-11-02 | 2022-12-04 | N |
| Develop a communication plan. | Fire Safety | 2022-11-02 | 2022-12-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-11-02 | 2022-12-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-11-02 | 2022-12-04 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-11-02 | 2022-12-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-02 | 2022-12-04 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-11-02 | 2022-12-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-26 | 2022-10-26 | 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 | 2022-09-26 | 2022-10-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-26 | 2022-10-26 | N |
| 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 | 2022-09-26 | 2022-10-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-26 | 2022-10-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-26 | 2022-10-26 | 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 | 2022-09-26 | 2022-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-26 | 2022-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-26 | 2022-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-02-22 | N |
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