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Deficiency Records for Mission Convalescent Home
A list of the most recent deficiencies for Mission Convalescent 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 Convalescent 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 | 2023-11-09 | 2023-12-14 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-11-09 | 2023-12-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-09 | 2023-12-14 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-11-09 | 2023-12-14 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2023-11-09 | 2023-12-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-12-14 | 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 | 2023-11-09 | 2023-12-14 | 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 | 2023-11-09 | 2023-12-14 | 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 | 2023-11-09 | 2023-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-09 | 2023-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-06 | 2023-12-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-11-06 | 2023-12-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-06 | 2023-12-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-06 | 2023-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-06 | 2023-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-06 | 2023-12-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-06 | 2023-12-01 | 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 | 2023-11-06 | 2023-12-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-06 | 2023-11-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-11-06 | 2023-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2021-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2021-12-31 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-12-13 | 2021-12-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-13 | 2021-12-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-13 | 2021-12-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-18 | Not Fixed | 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 | 2024-09-18 | Not Fixed | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-18 | Not Fixed | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-18 | Not Fixed | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-18 | Not Fixed | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-09-18 | Not Fixed | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-16 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-16 | Not Fixed | N |
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