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Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Flint

A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab Ctr of Flint. 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 Flint. 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 2024-05-29 2024-07-08 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 2024-05-29 2024-07-08 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 2024-05-29 2024-07-08 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-05-29 2024-07-08 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-05-29 2024-07-08 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-05-29 2024-07-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-29 2024-07-08 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 2024-05-29 2024-07-08 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-05-29 2024-07-08 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-05-29 2024-07-08 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 2024-05-29 2024-07-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-29 2024-07-08 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 2024-05-29 2024-07-08 N
Provide enough food/fluids to maintain a resident's health. Health 2024-05-29 2024-07-08 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 2024-05-29 2024-07-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-05-29 2024-07-08 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-05-29 2024-07-08 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-05-29 2024-07-08 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 2024-05-29 2024-07-08 N
Post nurse staffing information every day. Health 2024-05-29 2024-07-08 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 2024-05-29 2024-07-08 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 2024-05-29 2024-07-08 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2024-05-29 2024-07-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-29 2024-07-08 N
Provide and implement an infection prevention and control program. Health 2024-05-29 2024-07-08 N
Implement a program that monitors antibiotic use. Health 2024-05-29 2024-07-08 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-05-29 2024-07-08 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-05-29 2024-07-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-05-22 2024-07-05 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-05-22 2024-07-02 N
Conduct testing and exercise requirements. Fire Safety 2024-05-22 2024-07-02 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 2024-05-22 2024-07-02 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 2024-05-22 2024-07-02 N
Provide properly protected cooking facilities. Fire Safety 2024-05-22 2024-07-02 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-05-22 2024-07-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-22 2024-07-02 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-05-22 2024-07-02 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-05-22 2024-07-02 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-04-18 2024-05-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-18 2024-05-15 Y
Provide enough food/fluids to maintain a resident's health. Health 2024-04-18 2024-05-15 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-04-18 2024-05-15 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-04-18 2024-05-15 Y
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 2024-04-18 2024-05-15 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 2024-04-18 2024-05-15 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-18 2024-05-15 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-10-03 2023-09-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-03 2023-09-15 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 2023-04-25 2023-06-27 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 2023-04-25 2023-06-27 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-25 2023-06-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-04-25 2023-06-27 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 2023-04-25 2023-06-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-25 2023-06-27 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 2023-04-25 2023-06-27 N
Provide enough food/fluids to maintain a resident's health. Health 2023-04-25 2023-06-27 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 2023-04-25 2023-06-27 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-04-25 2023-06-27 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2023-04-25 2023-06-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-25 2023-06-27 N
Provide and implement an infection prevention and control program. Health 2023-04-25 2023-06-27 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-04-25 2023-06-27 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-04-25 2023-06-27 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-04-25 2023-06-27 Y
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 2023-04-25 2023-06-27 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-04-25 2023-06-27 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 2023-04-25 2023-06-27 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-04-19 2023-04-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-19 2023-04-24 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-04-19 2023-04-24 N
Meet requirements for the use of electrical equipment. Fire Safety 2023-04-19 2023-04-24 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-01-13 2023-02-06 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-01-13 2023-02-06 Y
Respond appropriately to all alleged violations. Health 2023-01-13 2023-02-06 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-01-13 2023-02-06 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-01-13 2023-02-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-13 2023-02-06 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-01-13 2023-02-06 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-01-13 2023-02-06 Y
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 2023-01-13 2023-02-06 Y
Ensure that residents are free from significant medication errors. Health 2023-01-13 2023-02-06 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-13 2023-02-06 Y
Provide and implement an infection prevention and control program. Health 2023-01-13 2023-02-06 Y
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Health 2022-12-07 2022-12-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-31 2022-07-21 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-05-31 2022-07-21 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-03-17 2022-04-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-01 2022-03-03 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-02-01 2022-03-03 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2022-02-01 2022-03-03 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 2022-02-01 2022-03-03 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 2022-02-01 2022-03-03 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-02-01 2022-03-03 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-02-01 2022-03-03 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-02-01 2022-03-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-01 2022-03-03 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-02-01 2022-03-03 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-01 2022-03-03 N
Assist a resident in gaining access to vision and hearing services. Health 2022-02-01 2022-03-03 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 2022-02-01 2022-03-03 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 2022-02-01 2022-03-03 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 2022-02-01 2022-03-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-02-01 2022-03-03 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-02-01 2022-03-03 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-02-01 2022-03-03 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 2022-02-01 2022-03-03 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-02-01 2022-03-03 N
Ensure medication error rates are not 5 percent or greater. Health 2022-02-01 2022-03-03 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 2022-02-01 2022-03-03 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-02-01 2022-03-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-01 2022-03-03 N
Provide and implement an infection prevention and control program. Health 2022-02-01 2022-03-03 N
Implement a program that monitors antibiotic use. Health 2022-02-01 2022-03-03 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 2022-01-26 2022-03-03 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 2022-01-26 2022-03-03 N
Install an approved automatic sprinkler system. Fire Safety 2022-01-26 2022-03-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-01-26 2022-03-03 N
Have proper medical gas storage and administration areas. Fire Safety 2022-01-26 2022-03-03 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-01-10 2022-02-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-10 2022-02-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-01-10 2022-02-10 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 2022-01-10 2022-02-10 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-01-10 2022-02-10 Y
Respond appropriately to all alleged violations. Health 2021-10-13 2021-11-13 Y

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