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Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Forest Hills
A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab Ctr of Forest Hills. 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 Forest Hills. 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 policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-17 | 2024-09-17 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-17 | 2024-09-17 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-17 | 2024-08-09 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-17 | 2024-08-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-17 | 2024-08-09 | 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 | 2024-07-17 | 2024-08-09 | 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 | 2024-07-17 | 2024-08-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-17 | 2024-08-09 | N |
Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-07-17 | 2024-08-09 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-07-17 | 2024-08-09 | 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 | 2024-07-17 | 2024-08-09 | 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 | 2024-07-17 | 2024-08-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-17 | 2024-08-09 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-07-17 | 2024-08-09 | N |
Provide and implement an infection prevention and control program. | Health | 2024-07-17 | 2024-08-09 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-07-17 | 2024-08-09 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-07-17 | 2024-08-09 | N |
Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-07-17 | 2024-08-09 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-17 | 2024-08-09 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-07-17 | 2024-08-09 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-17 | 2024-08-09 | Y |
Provide activities to meet all resident's needs. | Health | 2024-07-17 | 2024-08-09 | Y |
Ensure the activities program is directed by a qualified professional. | Health | 2024-07-17 | 2024-08-09 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-17 | 2024-08-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-17 | 2024-08-09 | 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 | 2024-07-17 | 2024-08-09 | 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 | 2024-07-17 | 2024-08-09 | Y |
Observe each nurse aide's job performance and give regular training. | Health | 2024-07-17 | 2024-08-09 | Y |
Ensure that residents are free from significant medication errors. | Health | 2024-07-17 | 2024-08-09 | 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 | 2024-07-15 | 2024-08-09 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-21 | 2024-03-19 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-21 | 2024-03-19 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-02-21 | 2024-03-19 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-21 | 2024-03-19 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-21 | 2024-03-19 | 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 | 2024-02-21 | 2024-03-19 | Y |
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 | 2023-06-12 | 2023-07-14 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-12 | 2023-07-14 | 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 | 2023-06-12 | 2023-07-14 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-06-12 | 2023-07-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-12 | 2023-07-14 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-12 | 2023-07-14 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-12 | 2023-07-14 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-07 | 2023-07-09 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-07 | 2023-07-09 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-07 | 2023-07-09 | 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 | 2023-06-07 | 2023-07-09 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-07 | 2023-07-09 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-07 | 2023-07-09 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-07 | 2023-07-09 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-07 | 2023-07-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-07 | 2023-07-09 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-07 | 2023-07-09 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-06-07 | 2023-07-09 | Y |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-03-24 | 2022-09-24 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-24 | 2022-04-15 | 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 | 2022-03-24 | 2022-04-15 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-24 | 2022-04-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-24 | 2022-04-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-24 | 2022-04-15 | N |
Dispose of garbage and refuse properly. | Health | 2022-03-24 | 2022-04-15 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-24 | 2022-04-15 | 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 | 2022-03-24 | 2022-04-15 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-24 | 2022-04-15 | N |
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