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

A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab Ctr of Woodward. 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 Woodward. 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?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-01 2024-07-31 Y
Provide properly protected cooking facilities. Fire Safety 2024-01-31 2024-04-05 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-01-31 2024-04-05 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-01-31 2024-04-01 N
Create arrangements with other facilities to receive patients. Fire Safety 2024-01-31 2024-04-01 N
Establish roles under a Waiver declared by secretary. Fire Safety 2024-01-31 2024-04-01 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-01-31 2024-04-01 N
Construct fire resistant interior walls. Fire Safety 2024-01-31 2024-04-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-31 2024-04-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-01-31 2024-04-01 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2024-01-31 2024-04-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-31 2024-04-01 N
Have restrictions on the use of portable space heaters. Fire Safety 2024-01-31 2024-04-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-31 2024-04-01 N
Have proper medical gas storage and administration areas. Fire Safety 2024-01-31 2024-04-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-01-31 2024-03-25 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2024-01-31 2024-03-25 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-01-31 2024-03-25 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-01-31 2024-03-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-01-31 2024-03-25 N
Provide a written emergency evacuation plan. Fire Safety 2024-01-31 2024-03-25 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-02-01 2024-03-10 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-01 2024-03-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-01 2024-03-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-01 2024-03-10 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 2024-02-01 2024-03-10 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 2024-02-01 2024-03-10 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-02-01 2024-03-10 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-02-01 2024-03-10 N
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 2024-02-01 2024-03-10 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-02-01 2024-03-10 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-03-21 2023-04-10 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-11-03 2022-12-05 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-11-03 2022-12-05 N
Keep residents' personal and medical records private and confidential. Health 2022-11-03 2022-12-05 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 2022-11-03 2022-12-05 N
Ensure medication error rates are not 5 percent or greater. Health 2022-11-03 2022-12-05 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 2022-11-03 2022-12-05 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-11-03 2022-12-05 Y
Conduct testing and exercise requirements. Fire Safety 2022-11-03 2022-12-02 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-11-03 2022-12-02 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-11-03 2022-12-02 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 2022-11-03 2022-12-02 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-11-03 2022-12-02 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-11-03 2022-12-02 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-11-03 2022-12-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-03 2022-12-02 N
Have proper medical gas storage and administration areas. Fire Safety 2022-11-03 2022-12-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-04 2022-06-10 Y
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2021-09-02 2021-12-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-09-02 2021-11-05 N
Provide a written emergency evacuation plan. Fire Safety 2021-09-02 2021-11-05 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-09-02 2021-10-17 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 2021-09-02 2021-10-17 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2021-09-02 2021-10-17 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-09-02 2021-10-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-02 2021-10-17 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-09-02 2021-10-17 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-09-02 2021-10-17 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2021-09-02 2021-10-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-09-02 2021-10-17 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-09-02 2021-10-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-09-02 2021-10-17 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-09-02 2021-10-11 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-09-02 2021-10-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-09-02 2021-10-11 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-09-02 2021-10-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-09-02 2021-10-11 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 2021-09-02 2021-10-11 N
Provide enough food/fluids to maintain a resident's health. Health 2021-09-02 2021-10-11 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 2021-09-02 2021-10-11 N
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 2021-09-02 2021-10-11 N
Post nurse staffing information every day. Health 2021-09-02 2021-10-11 N
Ensure that residents are free from significant medication errors. Health 2021-09-02 2021-10-11 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 2021-09-02 2021-10-11 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2021-09-02 2021-10-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-02 2021-10-11 N
Dispose of garbage and refuse properly. Health 2021-09-02 2021-10-11 N
Provide and implement an infection prevention and control program. Health 2021-09-02 2021-10-11 N
Report COVID19 data to residents and families. Health 2021-09-02 2021-10-11 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-09-02 2021-10-11 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2021-09-02 2021-10-11 N

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