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Deficiency Records for Mission Nursing Home
A list of the most recent deficiencies for Mission Nursing Home. 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 Nursing Home. 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 | 2024-05-31 | 2024-07-12 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-05-31 | 2024-07-12 | 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 | 2024-05-31 | 2024-07-12 | 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 | 2024-05-31 | 2024-07-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-31 | 2024-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-31 | 2024-07-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-31 | 2024-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-31 | 2024-07-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-31 | 2024-07-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-31 | 2024-07-12 | N |
| 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 | 2024-05-31 | 2024-07-12 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-05-31 | 2024-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-31 | 2024-07-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-31 | 2024-07-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-31 | 2024-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-30 | 2024-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2024-05-30 | 2024-06-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-24 | 2024-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-13 | 2024-01-04 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-13 | 2024-01-04 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-12 | 2023-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-12 | 2023-09-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-12 | 2023-09-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-12 | 2023-09-29 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-07-12 | 2023-09-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-12 | 2023-09-28 | 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 | 2023-07-12 | 2023-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-12 | 2023-09-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-12 | 2023-09-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-12 | 2023-09-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-12 | 2023-09-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-12 | 2023-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-12 | 2023-09-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-12 | 2023-08-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-07-12 | 2023-08-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-12 | 2023-08-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-07-12 | 2023-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-24 | 2022-09-30 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-05 | 2022-05-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-05 | 2022-04-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-05 | 2022-04-20 | 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 | 2022-04-19 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-05 | 2022-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-05 | 2022-04-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-05 | 2022-04-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-04-05 | 2022-04-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-05 | 2022-04-08 | N |
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