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Deficiency Records for Mitchell-Hollingsworth Nursing and Rehabilitation

View the most recent health deficiencies and inspection results for Mitchell-Hollingsworth Nursing and Rehabilitation. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Mitchell-Hollingsworth Nursing and Rehabilitation. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-09-18 2025-11-12 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-09-18 2025-11-05 Y
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 2025-09-18 2025-11-05 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2025-09-18 2025-11-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-09-18 2025-11-05 N
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Health 2025-09-18 2025-11-05 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-09-18 2025-11-05 N
Provide properly protected cooking facilities. Fire Safety 2019-09-05 2019-10-08 N
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Health 2019-09-05 2019-10-08 N
Have proper medical gas storage and administration areas. Fire Safety 2019-09-05 2019-10-08 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2019-09-05 2019-10-08 N
Keep residents' personal and medical records private and confidential. Health 2018-08-02 2018-09-04 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 2018-08-02 2018-09-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-08-02 2018-09-04 N
Provide and implement an infection prevention and control program. Health 2018-08-02 2018-09-04 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-08-02 2018-08-09 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2018-08-02 2018-08-08 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 2018-08-02 2018-08-08 N

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