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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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-28 | 2024-02-02 | 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 |
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