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Deficiency Records for Mission at Community Living Rehabilitation Center

A list of the most recent deficiencies for Mission at Community Living Rehabilitation 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 Mission at Community Living Rehabilitation 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 necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-09-12 2023-11-10 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 2023-09-12 2023-11-10 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2023-09-12 2023-11-10 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 2023-09-12 2023-11-10 N
Provide routine and 24-hour emergency dental care for each resident. Health 2023-09-12 2023-11-10 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-09-12 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 2023-09-12 2023-11-10 N
Provide and implement an infection prevention and control program. Health 2023-09-12 2023-11-10 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-12 2023-11-10 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-09-14 2023-11-10 N
Provide properly protected cooking facilities. Fire Safety 2023-09-14 2023-11-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-09-14 2023-11-10 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-02-22 2022-04-15 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 2022-02-22 2022-04-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-02-22 2022-04-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-02-22 2022-04-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-24 2022-03-30 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-24 2022-03-30 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 2022-02-24 2022-03-30 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-02-24 2022-03-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-23 2019-12-22 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-10-28 2019-12-20 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 2019-10-28 2019-12-20 N
Have proper medical gas storage and administration areas. Fire Safety 2019-10-28 2019-12-20 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-10-23 2019-12-02 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-10-23 2019-12-02 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-10-23 2019-12-02 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-10-23 2019-12-02 N
Assess the resident when there is a significant change in condition Health 2019-10-23 2019-12-02 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 2019-10-23 2019-12-02 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-10-23 2019-12-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-10-23 2019-12-02 N

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