Deficiency Records for Mitchell-Hollingsworth Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Mitchell-Hollingsworth Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| 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 |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-11 | 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 | 2019-09-11 | 2019-10-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-11 | 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 | 2018-08-07 | 2018-08-09 | 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 | 2018-08-07 | 2018-08-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-07 | 2018-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-20 | 2017-07-25 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-06-20 | 2017-07-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-20 | 2017-07-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-06-15 | 2017-07-14 | N |
