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Deficiency Records for North Pointe Care Center
A list of the most recent deficiencies for North Pointe Care 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 North Pointe Care 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? |
|---|---|---|---|---|
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-09-13 | 2024-10-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-13 | 2024-10-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-09-13 | 2024-10-01 | 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 | 2024-09-13 | 2024-10-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-09-13 | 2024-10-01 | 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 | 2024-09-13 | 2024-10-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-13 | 2024-10-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-13 | 2024-10-01 | N |
| Provide activities to meet all resident's needs. | Health | 2024-09-13 | 2024-10-01 | 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 | 2024-09-13 | 2024-10-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-13 | 2024-10-01 | 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 | 2024-09-13 | 2024-10-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-13 | 2024-10-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-13 | 2024-10-01 | 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 | 2024-09-13 | 2024-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-13 | 2024-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-13 | 2024-10-01 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2024-09-13 | 2024-10-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-09-13 | 2024-10-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-16 | 2024-09-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-16 | 2024-09-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-16 | 2024-09-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-09-16 | 2024-09-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-09-16 | 2024-09-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-16 | 2024-09-27 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-09-16 | 2024-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-17 | 2024-08-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-10 | 2024-08-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-01 | 2024-08-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-01 | 2024-08-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-10 | 2024-07-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-02 | 2024-07-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-02 | 2024-07-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-02 | 2024-07-26 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-28 | 2024-07-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-28 | 2024-07-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-11 | 2024-05-01 | Y |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2024-02-20 | 2024-03-13 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-02-20 | 2024-03-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-03 | 2024-02-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-06 | 2024-01-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-06 | 2024-01-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-13 | 2023-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-13 | 2023-11-16 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-10-13 | 2023-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-09 | 2023-08-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-30 | 2023-06-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-06-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-28 | 2023-05-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-27 | 2023-04-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-15 | 2023-03-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-21 | 2023-02-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-15 | 2023-02-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-15 | 2023-02-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-02-15 | 2023-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-15 | 2023-01-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-27 | 2022-10-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-19 | 2022-08-05 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-12 | 2022-07-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-20 | 2022-07-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-16 | 2022-07-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-06 | 2022-06-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-18 | 2022-03-07 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-12-15 | 2021-12-31 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-07-09 | 2021-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-09 | 2021-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-09 | 2021-08-09 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2021-07-09 | 2021-08-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-07-09 | 2021-08-09 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2021-07-09 | 2021-08-09 | N |
| Use approved construction type or materials. | Fire Safety | 2021-07-14 | 2021-08-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-14 | 2021-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-14 | 2021-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-14 | 2021-08-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-08-16 | 2019-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-16 | 2019-09-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-16 | 2019-09-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-16 | 2019-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-16 | 2019-09-27 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-08-16 | 2019-09-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-08-16 | 2019-09-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-16 | 2019-09-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-16 | 2019-09-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-16 | 2019-09-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-16 | 2019-09-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-16 | 2019-09-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-16 | 2019-09-25 | N |
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