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Deficiency Records for Landmark of Midwest City Rehabilitation and Nursin
A list of the most recent deficiencies for Landmark of Midwest City Rehabilitation and Nursin. 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 Landmark of Midwest City Rehabilitation and Nursin. 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 | 2024-02-21 | 2024-03-26 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-02-21 | 2024-03-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-21 | 2024-03-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-21 | 2024-03-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-21 | 2024-03-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-08 | 2024-01-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-20 | 2023-11-20 | 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 | 2023-10-20 | 2023-11-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-20 | 2023-11-20 | Y |
| 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 | 2023-10-20 | 2023-11-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-18 | 2022-12-30 | 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 | 2022-11-18 | 2022-12-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-18 | 2022-12-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-18 | 2022-12-30 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-18 | 2022-12-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-18 | 2022-12-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-18 | 2022-12-30 | 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 | 2022-11-18 | 2022-12-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-18 | 2022-12-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2022-12-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-18 | 2022-12-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-18 | 2022-12-30 | 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 | 2022-11-18 | 2022-12-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-18 | 2022-12-30 | 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 | 2022-11-18 | 2022-12-30 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-11-18 | 2022-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-18 | 2022-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-12-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-17 | 2022-12-30 | 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 | 2022-11-17 | 2022-12-30 | 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 | 2022-11-17 | 2022-12-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-17 | 2022-12-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-17 | 2022-12-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-17 | 2022-12-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-17 | 2022-12-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-17 | 2022-12-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-17 | 2022-12-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-20 | 2022-08-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-20 | 2022-08-12 | Y |
| 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 | 2022-07-20 | 2022-08-12 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-20 | 2022-07-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-22 | 2022-06-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-22 | 2022-06-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-09 | 2022-03-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-02 | 2019-08-15 | 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 | 2019-07-02 | 2019-08-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-02 | 2019-08-15 | 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 | 2019-07-02 | 2019-08-15 | 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 | 2019-07-02 | 2019-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-02 | 2019-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-02 | 2019-08-15 | 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 | 2019-06-28 | 2019-08-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-28 | 2019-08-15 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-06-28 | 2019-08-15 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-06-28 | 2019-08-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-28 | 2019-08-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-28 | 2019-08-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-06-28 | 2019-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-28 | 2019-08-15 | N |
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