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Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Big Rapids
A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab Ctr of Big Rapids. 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 Point Nsg and Phy Rehab Ctr of Big Rapids. 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? |
|---|---|---|---|---|
| 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 | 2023-08-09 | 2023-09-08 | 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 | 2023-08-09 | 2023-09-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-09 | 2023-09-08 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-08-09 | 2023-09-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-09 | 2023-09-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-10 | 2023-09-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-10 | 2023-09-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-10 | 2023-09-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-21 | 2023-04-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-07 | 2022-10-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-07 | 2022-08-05 | 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 | 2022-07-07 | 2022-08-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-07 | 2022-08-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-07 | 2022-08-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-07 | 2022-08-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-07 | 2022-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-07 | 2022-08-05 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-07-07 | 2022-08-01 | 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 | 2022-07-07 | 2022-08-01 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-07-07 | 2022-08-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-07 | 2022-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-07 | 2022-08-01 | 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 | 2022-07-07 | 2022-08-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-07 | 2022-08-01 | 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 | 2022-07-07 | 2022-08-01 | N |
| Have policies on smoking. | Health | 2022-07-07 | 2022-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-21 | 2022-05-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-21 | 2022-05-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-21 | 2022-05-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-05-20 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-21 | 2022-05-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-11-09 | 2020-12-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-11-09 | 2020-12-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-11-09 | 2020-12-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-09 | 2020-12-15 | 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 | 2020-11-09 | 2020-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-09 | 2020-12-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-11-09 | 2020-12-15 | 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 | 2020-11-09 | 2020-12-15 | 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 | 2020-11-09 | 2020-12-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-11-09 | 2020-12-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-11-09 | 2020-12-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-11-09 | 2020-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-09 | 2020-12-15 | N |
| Report COVID19 data to residents and families. | Health | 2020-11-09 | 2020-12-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2020-11-09 | 2020-12-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-11-09 | 2020-12-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-11-04 | 2020-12-15 | 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 | 2020-11-04 | 2020-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-11-04 | 2020-12-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-11-04 | 2020-12-15 | N |
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