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Deficiency Records for Medilodge of Cass City
A list of the most recent deficiencies for Medilodge of Cass City. 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 Medilodge of Cass City. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-29 | 2024-09-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-29 | 2024-09-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-29 | 2024-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-29 | 2024-09-25 | 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 | 2024-08-29 | 2024-09-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-29 | 2024-09-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-29 | 2024-09-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-29 | 2024-09-25 | 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 | 2024-08-29 | 2024-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-29 | 2024-09-25 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-08-29 | 2024-09-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-08-29 | 2024-09-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-08-29 | 2024-09-25 | 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 | 2024-08-29 | 2024-09-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-29 | 2024-09-25 | 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 | 2024-08-29 | 2024-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-29 | 2024-09-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-29 | 2024-09-25 | 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 | 2024-02-28 | 2024-02-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-28 | 2024-02-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-14 | 2023-10-18 | 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 | 2023-09-14 | 2023-10-18 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-14 | 2023-10-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-14 | 2023-10-18 | 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 | 2023-09-14 | 2023-10-18 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-14 | 2023-10-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-14 | 2023-10-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-14 | 2023-10-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-14 | 2023-10-18 | 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 | 2023-09-14 | 2023-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-14 | 2023-10-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-14 | 2023-10-18 | 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 | 2023-09-14 | 2023-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-10-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-14 | 2023-10-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-14 | 2023-10-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-17 | 2022-01-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-17 | 2022-01-20 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-09-24 | 2021-10-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-24 | 2021-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-24 | 2021-10-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-24 | 2021-10-14 | 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 | 2021-09-24 | 2021-10-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-24 | 2021-10-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-24 | 2021-10-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-24 | 2021-10-14 | 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 | 2021-09-24 | 2021-10-14 | 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 | 2021-09-24 | 2021-10-14 | 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 | 2021-09-24 | 2021-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-10-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-27 | 2021-10-14 | 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 | 2021-09-27 | 2021-10-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-09-27 | 2021-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-27 | 2021-10-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-27 | 2021-10-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-27 | 2021-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-27 | 2021-10-14 | N |
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