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Deficiency Records for Mirador
A list of the most recent deficiencies for Mirador. 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 Mirador. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-25 | 2024-08-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-25 | 2024-06-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-29 | 2024-04-13 | 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 | 2024-03-29 | 2024-04-13 | 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 | 2024-03-29 | 2024-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-29 | 2024-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-29 | 2024-04-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-29 | 2024-04-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-12 | 2023-03-10 | 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 | 2023-01-12 | 2023-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-12 | 2023-03-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-11 | 2023-02-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-11 | 2023-02-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-11 | 2023-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-08 | 2022-05-13 | Y |
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