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Deficiency Records for Mission Carmichael Healthcare Center
View the most recent health deficiencies and inspection results for Mission Carmichael Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mission Carmichael Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-03-27 | 2025-05-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-03-27 | 2025-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-27 | 2025-04-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-03-27 | 2025-04-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-27 | 2025-04-16 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-03-27 | 2025-04-16 | 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 | 2025-03-27 | 2025-04-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-27 | 2025-04-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-27 | 2025-04-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-03-27 | 2025-04-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-03-27 | 2025-04-16 | 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 | 2025-03-27 | 2025-04-16 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-03-27 | 2025-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-27 | 2025-04-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-03-27 | 2025-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-27 | 2025-04-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-27 | 2025-04-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-09 | 2025-04-10 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2025-03-27 | 2025-04-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-03-27 | 2025-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-27 | 2025-04-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-03-27 | 2025-04-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-03-27 | 2025-04-09 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-01-24 | 2025-02-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-08 | 2024-11-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-30 | 2024-09-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-22 | 2024-08-28 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-21 | 2024-04-14 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-03-21 | 2024-04-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-03-21 | 2024-04-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-21 | 2024-04-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-21 | 2024-04-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-03-21 | 2024-04-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-21 | 2024-04-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-03-21 | 2024-04-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-21 | 2024-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-21 | 2024-04-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-21 | 2024-04-12 | 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 | 2024-03-21 | 2024-04-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-21 | 2024-04-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-21 | 2024-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-21 | 2024-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-21 | 2024-04-12 | N |
| Keep all essential equipment working safely. | Health | 2024-03-21 | 2024-04-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-05 | 2024-03-12 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-05 | 2024-03-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-27 | 2023-08-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-08-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-20 | 2023-07-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-01 | 2023-06-30 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-07 | 2022-05-05 | 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 | 2022-04-07 | 2022-05-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-04-07 | 2022-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-04-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-07 | 2022-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-07 | 2022-04-29 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-04-07 | 2022-04-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-04-07 | 2022-04-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-07 | 2022-04-29 | 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 | 2022-04-07 | 2022-04-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-07 | 2022-04-29 | 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 | 2022-04-07 | 2022-04-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-07 | 2022-04-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-07 | 2022-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-07 | 2022-04-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-07 | 2022-04-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-07 | 2022-04-29 | N |