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Deficiency Records for Mitchell Care Center

A list of the most recent deficiencies for Mitchell Care Center. 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 Mitchell Care Center. 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 testing and maintenance of electrical equipment is performed. Fire Safety 2024-08-08 2024-09-20 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 2024-08-08 2024-09-13 N
Provide and implement an infection prevention and control program. Health 2024-08-13 2024-09-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-08-08 2024-09-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-13 2024-09-05 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 2024-08-13 2024-09-05 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 2024-08-13 2024-09-05 N
Have enough outside ventilation via a window or mechanical ventilation, or both. Health 2024-08-13 2024-08-30 N
Implement emergency and standby power systems. Fire Safety 2024-08-08 2024-08-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-08-08 2024-08-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-08-13 2024-08-15 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 2023-09-26 2023-11-10 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-09-26 2023-11-10 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2023-09-26 2023-11-10 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 2023-09-26 2023-11-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-26 2023-11-10 N
Provide and implement an infection prevention and control program. Health 2023-09-26 2023-11-10 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-09-26 2023-11-10 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-09-21 2023-10-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-09-21 2023-10-26 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-09-21 2023-10-26 N
Provide and implement an infection prevention and control program. Health 2023-03-01 2023-04-01 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-07-26 2022-08-26 N
Provide and implement an infection prevention and control program. Health 2022-07-26 2022-08-26 N
Use approved construction type or materials. Fire Safety 2022-07-21 2022-08-26 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-07-21 2022-08-26 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 2022-07-21 2022-08-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-07-21 2022-08-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-07-21 2022-08-18 N
Have proper medical gas storage and administration areas. Fire Safety 2022-07-21 2022-08-18 N

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