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Deficiency Records for Northern Mahaska Specialty Care
A list of the most recent deficiencies for Northern Mahaska Specialty 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 Northern Mahaska Specialty 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 | 2024-07-06 | 2024-07-07 | Y |
| 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 | 2023-12-21 | 2023-12-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-30 | 2023-09-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-30 | 2023-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2023-09-20 | 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 | 2023-08-31 | 2023-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-31 | 2023-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-31 | 2023-09-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-31 | 2023-09-07 | N |
| Use approved construction type or materials. | Fire Safety | 2023-08-31 | 2023-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-05-11 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-05-10 | 2023-05-11 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-14 | 2022-08-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-16 | 2022-08-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-16 | 2022-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-16 | 2022-08-10 | 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 | 2022-07-16 | 2022-08-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-07-16 | 2022-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-16 | 2022-08-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-16 | 2022-08-10 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-07-16 | 2022-08-10 | N |
| Post nurse staffing information every day. | Health | 2022-07-16 | 2022-08-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-07-16 | 2022-08-10 | N |
| Provide or obtain dental services for each resident. | Health | 2022-07-16 | 2022-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-16 | 2022-08-10 | N |
| 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 | 2022-07-16 | 2022-08-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-16 | 2022-08-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-16 | 2022-08-10 | 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 | 2022-07-16 | 2022-08-10 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-16 | 2022-08-10 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-16 | 2022-08-10 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-07-16 | 2022-08-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-16 | 2022-08-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-14 | 2022-07-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-14 | 2022-07-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-07-14 | 2022-07-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-14 | 2022-07-14 | 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 | 2022-07-14 | 2022-07-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-14 | 2022-07-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-14 | 2022-07-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-14 | 2022-07-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-14 | 2022-07-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-18 | 2022-06-15 | 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 | 2022-05-18 | 2022-06-15 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2022-02-10 | 2022-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-10 | 2022-02-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-10 | 2022-02-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-10 | 2022-02-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-10 | 2022-02-14 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2022-02-10 | 2022-02-14 | 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 | 2022-02-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-10 | 2022-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-09 | 2022-02-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-09 | 2022-02-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-09 | 2022-01-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-09 | 2022-01-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-09 | 2022-01-10 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-12-09 | 2022-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-09 | 2022-01-10 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-12-09 | 2022-01-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2022-01-10 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-19 | 2021-06-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-15 | 2021-05-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-15 | 2021-05-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-15 | 2021-05-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-15 | 2021-05-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-15 | 2021-05-05 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2021-04-15 | 2021-05-05 | 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 | 2021-04-15 | 2021-05-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-15 | 2021-05-05 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-04-15 | 2021-05-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-19 | 2021-05-05 | N |
| Develop a communication plan. | Fire Safety | 2021-04-19 | 2021-05-05 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-04-19 | 2021-05-05 | 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 | 2021-04-19 | 2021-05-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-04-19 | 2021-05-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-04-19 | 2021-05-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-19 | 2021-05-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-19 | 2021-05-05 | N |
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