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Deficiency Records for Mill Pond Health Campus
A list of the most recent deficiencies for Mill Pond Health Campus. 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 Mill Pond Health Campus. 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 | 2024-07-24 | 2024-07-05 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-07 | 2024-03-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-07 | 2024-03-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-07 | 2024-03-22 | 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 | 2024-01-24 | 2024-01-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-19 | 2023-01-12 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-14 | 2022-12-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-14 | 2022-12-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-14 | 2022-12-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-14 | 2022-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-14 | 2022-12-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-05 | 2022-11-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-05 | 2022-11-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-05 | 2022-11-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-05 | 2022-11-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-05 | 2022-11-08 | 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 | 2022-10-05 | 2022-11-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-05 | 2022-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-05 | 2022-11-08 | 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 | 2022-10-05 | 2022-11-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-05 | 2022-11-08 | 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 | 2022-10-05 | 2022-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-05 | 2022-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-05 | 2022-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-30 | 2022-07-23 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-29 | 2019-04-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-29 | 2019-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-29 | 2019-04-26 | N |
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