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Deficiency Records for Miletree Center
A list of the most recent deficiencies for Miletree 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 Miletree 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-11 | 2024-08-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-11 | 2024-08-13 | 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 | 2024-07-11 | 2024-08-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-07-11 | 2024-08-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-11 | 2024-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-11 | 2024-08-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-11 | 2024-08-13 | N |
| Provide activities to meet all resident's needs. | Health | 2024-07-11 | 2024-08-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-11 | 2024-08-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-11 | 2024-08-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-11 | 2024-08-13 | 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 | 2024-07-11 | 2024-08-13 | N |
| Provide or obtain dental services for each resident. | Health | 2024-07-11 | 2024-08-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-11 | 2024-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-08-13 | 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 | 2023-03-08 | 2023-03-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-08 | 2023-03-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-08 | 2023-03-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-08 | 2023-03-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-08 | 2023-03-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-08 | 2023-03-24 | 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 | 2023-03-08 | 2023-03-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-08 | 2023-03-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-08 | 2023-03-24 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-03-08 | 2023-03-24 | 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 | 2023-03-08 | 2023-03-24 | 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 | 2023-03-08 | 2023-03-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-08 | 2023-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-08 | 2023-03-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-08 | 2023-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-08 | 2023-03-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-29 | 2022-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-29 | 2022-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-29 | 2022-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-29 | 2022-01-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-02 | 2022-01-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-02 | 2022-01-04 | 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 | 2021-12-02 | 2022-01-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-02 | 2022-01-04 | 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 | 2021-12-02 | 2022-01-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-02 | 2022-01-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-02 | 2022-01-04 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-12-02 | 2022-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-02 | 2022-01-04 | 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 | 2021-12-02 | 2022-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-02 | 2022-01-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-02 | 2022-01-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-02 | 2022-01-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-02 | 2022-01-04 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-12-02 | 2022-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-02 | 2022-01-04 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-12-02 | 2022-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-02 | 2022-01-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-02 | 2022-01-04 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-12-02 | 2022-01-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-02 | 2022-01-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-02 | 2022-01-04 | Y |
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