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Deficiency Records for Mission Care at Holyoke
A list of the most recent deficiencies for Mission Care at Holyoke. 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 Care at Holyoke. 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? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-02 | 2024-05-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-02 | 2024-05-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-02 | 2024-05-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-02 | 2024-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-02 | 2024-05-17 | N |
| Have policies on smoking. | Health | 2024-04-02 | 2024-05-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-03 | 2023-02-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-03 | 2023-02-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-03 | 2023-02-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-03 | 2023-02-19 | 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 | 2023-01-03 | 2023-02-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-01-03 | 2023-02-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-03 | 2023-02-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-03 | 2023-02-19 | 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 | 2023-01-03 | 2023-02-19 | 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 | 2023-01-03 | 2023-02-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-03 | 2023-02-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-03 | 2023-02-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-03 | 2023-02-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-01-03 | 2023-02-19 | 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 | 2023-01-03 | 2023-02-19 | 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 | 2023-01-03 | 2023-02-19 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-01-03 | 2023-02-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-03 | 2023-02-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-01-10 | 2023-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-10 | 2023-01-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-10 | 2023-01-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-10 | 2023-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-10 | 2023-01-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-10 | 2023-01-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-03 | 2023-01-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-12 | 2022-02-19 | 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 | 2021-05-11 | 2021-07-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-11 | 2021-07-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-11 | 2021-07-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-11 | 2021-07-06 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-05-11 | 2021-07-06 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-05-11 | 2021-07-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-11 | 2021-07-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-11 | 2021-07-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-11 | 2021-07-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-11 | 2021-07-06 | 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 | 2021-05-11 | 2021-07-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-11 | 2021-07-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-11 | 2021-07-06 | 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 | 2021-05-11 | 2021-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-11 | 2021-07-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-11 | 2021-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-11 | 2021-07-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-18 | 2021-06-14 | 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 | 2021-05-18 | 2021-06-10 | 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 | 2021-05-18 | 2021-06-09 | N |
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