Deficiency Records for Mission Skilled Nursing and Subacute Center
Updated as of September 01, 2016
This is not the most recent data for Mission Skilled Nursing and Subacute Center. For the most recent information, click here.
A list of the most recent deficiencies for Mission Skilled Nursing and Subacute 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? |
|---|---|---|---|---|
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-07-28 | 2015-09-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-07-28 | 2015-09-11 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-07-28 | 2015-09-11 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-07-28 | 2015-09-11 | N |
| Completely assess the resident at least every twelve months. | Health | 2015-07-28 | 2015-09-11 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-07-28 | 2015-09-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-07-28 | 2015-09-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-28 | 2015-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-28 | 2015-09-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-28 | 2015-09-11 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2015-07-28 | 2015-09-11 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-07-28 | 2015-09-11 | N |
| Keep all essential equipment working safely. | Health | 2015-07-28 | 2015-09-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2015-07-28 | 2015-09-11 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-07-28 | 2015-09-11 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-28 | 2015-09-11 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-08-04 | 2015-08-25 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-08-04 | 2015-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-12-02 | 2015-01-13 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2014-06-30 | 2014-08-05 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-06-30 | 2014-08-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-06-30 | 2014-08-05 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2014-06-30 | 2014-08-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-06-30 | 2014-08-05 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2014-06-30 | 2014-08-05 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-06-30 | 2014-08-05 | N |
| Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2014-06-30 | 2014-08-05 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-06-30 | 2014-08-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-06-30 | 2014-08-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-06-30 | 2014-08-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-06-30 | 2014-08-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-06-30 | 2014-08-05 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2014-06-30 | 2014-08-05 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2014-06-30 | 2014-08-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-06-30 | 2014-08-05 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2014-06-30 | 2014-08-05 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-07-01 | 2014-07-24 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-07-01 | 2014-07-24 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-07-01 | 2014-07-24 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-07-01 | 2014-07-24 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-07-01 | 2014-07-24 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-07-01 | 2014-07-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2013-06-11 | 2013-07-08 | N |
| Provide timely notification to the resident before transfer or discharge. | Health | 2013-06-11 | 2013-07-08 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2013-06-11 | 2013-07-08 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2013-06-11 | 2013-07-08 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-06-11 | 2013-07-08 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-06-11 | 2013-07-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-06-11 | 2013-07-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2013-06-11 | 2013-07-08 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2013-06-11 | 2013-07-08 | N |
| Approved construction type or materials. | Fire Safety | 2013-06-11 | 2013-07-01 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-06-11 | 2013-07-01 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2013-06-11 | 2013-07-01 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-06-11 | 2013-07-01 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2013-06-11 | 2013-07-01 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-06-11 | 2013-07-01 | N |
