A list of the most recent deficiencies for Mission Palms Healthcare 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-24 | 2024-02-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-24 | 2024-02-24 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-23 | 2023-04-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-23 | 2023-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-23 | 2023-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-23 | 2023-04-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-23 | 2023-04-24 | 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 | 2023-03-23 | 2023-04-24 | 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 | 2023-03-23 | 2023-04-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-03-23 | 2023-04-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-23 | 2023-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-29 | 2023-04-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-29 | 2023-04-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-14 | 2022-10-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-05 | 2021-11-05 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-05 | 2021-11-05 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-12-17 | 2020-01-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-17 | 2020-01-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-17 | 2020-01-21 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-12-17 | 2020-01-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-17 | 2020-01-21 | 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 | 2019-12-06 | 2020-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-06 | 2020-01-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-06 | 2020-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-06 | 2020-01-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-12-06 | 2020-01-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-06 | 2020-01-04 | 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 | 2019-12-06 | 2020-01-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-12-06 | 2020-01-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-06 | 2020-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-06 | 2020-01-04 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-12-06 | 2020-01-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-06 | 2020-01-04 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-02-26 | 2019-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-26 | 2019-03-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-12-18 | 2019-01-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-18 | 2019-01-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-12-18 | 2019-01-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-12-18 | 2019-01-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-12-18 | 2019-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-18 | 2019-01-17 | N |
