Deficiency Records for Mission Nursing Home
Updated as of August 01, 2024
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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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