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Deficiency Records for Mcnaughten Pointe Nursing and Rehab
A list of the most recent deficiencies for Mcnaughten Pointe Nursing and Rehab. 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 Mcnaughten Pointe Nursing and Rehab. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-03-15 | 2024-04-02 | 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 | 2024-03-15 | 2024-04-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-15 | 2024-04-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-15 | 2024-04-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-15 | 2024-04-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-15 | 2024-04-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-15 | 2024-04-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-15 | 2024-04-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-15 | 2024-04-02 | 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 | 2024-03-15 | 2024-04-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-15 | 2024-04-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-15 | 2024-04-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-05 | 2024-04-02 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-03-05 | 2024-04-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-05 | 2024-04-02 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-03-05 | 2024-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-07 | 2023-04-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-07 | 2023-04-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-14 | 2022-11-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-14 | 2022-11-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-27 | 2022-11-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-06-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-30 | 2022-04-20 | 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 | 2022-03-30 | 2022-04-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-30 | 2022-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-30 | 2022-04-20 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-30 | 2022-04-20 | 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 | 2022-03-30 | 2022-04-20 | 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 | 2022-03-30 | 2022-04-20 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-03-30 | 2022-04-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-30 | 2022-04-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-03-30 | 2022-04-20 | 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 | 2022-03-30 | 2022-04-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-03-30 | 2022-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-30 | 2022-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-04-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-30 | 2022-04-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-21 | 2022-04-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-21 | 2022-04-20 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2019-06-06 | 2019-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-06 | 2019-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-06 | 2019-06-10 | 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 | 2019-06-06 | 2019-06-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-06 | 2019-06-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-04 | 2019-06-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-04 | 2019-06-10 | N |
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