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Deficiency Records for Mission Point Nsg and Physical Rehab Ctr of Lamont

A list of the most recent deficiencies for Mission Point Nsg and Physical Rehab Ctr of Lamont. 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 Physical Rehab Ctr of Lamont. 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-29 2024-08-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-29 2024-08-28 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-10 2024-02-01 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-10 2024-02-01 Y
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 2024-01-10 2024-02-01 Y
Have exits that are accessible at all times. Fire Safety 2024-01-17 2024-02-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-17 2023-10-31 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 2023-08-17 2023-10-31 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-01-24 2023-03-17 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-01-24 2023-03-17 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-01-24 2023-03-17 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-01-24 2023-03-17 N
Keep all essential equipment working safely. Health 2023-01-24 2023-03-17 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-24 2023-03-17 Y
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 2023-01-24 2023-02-17 N
Ensure each resident receives an accurate assessment. Health 2023-01-24 2023-02-17 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 2023-01-24 2023-02-17 N
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Health 2023-01-24 2023-02-17 N
Post nurse staffing information every day. Health 2023-01-24 2023-02-17 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 2023-01-24 2023-02-17 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-01-24 2023-02-17 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 2023-01-24 2023-02-17 N
Provide and implement an infection prevention and control program. Health 2023-01-24 2023-02-17 N
Assess the resident when there is a significant change in condition Health 2023-01-24 2023-02-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-24 2023-02-17 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2023-01-24 2023-02-17 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-01-24 2023-02-17 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 2023-01-19 2023-02-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-19 2023-02-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-10-28 2021-12-27 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-10-28 2021-12-04 N
Install proper backup exit lighting. Fire Safety 2021-10-28 2021-12-04 N
Provide properly protected cooking facilities. Fire Safety 2021-10-28 2021-12-04 N
Construct fire resistant interior walls. Fire Safety 2021-10-28 2021-12-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-10-28 2021-12-04 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-10-28 2021-12-04 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-10-28 2021-12-04 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-10-28 2021-12-04 N
Provide a written emergency evacuation plan. Fire Safety 2021-10-28 2021-12-04 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-10-28 2021-12-04 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-10-28 2021-12-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-10-28 2021-12-04 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-10-29 2021-11-17 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 2021-10-29 2021-11-17 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-10-29 2021-11-17 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-10-29 2021-11-17 N
Provide and implement an infection prevention and control program. Health 2021-10-29 2021-11-17 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-10-29 2021-11-17 N

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