Deficiency Records for Mission Hills Post Acute Care
Updated as of April 01, 2018
This is not the most recent data for Mission Hills Post Acute Care. For the most recent information, click here.
A list of the most recent deficiencies for Mission Hills Post Acute Care. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-31 | 2017-11-01 | 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 | 2017-08-31 | 2017-11-01 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-08-31 | 2017-11-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-31 | 2017-11-01 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-31 | 2017-11-01 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-08-31 | 2017-11-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-31 | 2017-11-01 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-31 | 2017-11-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-31 | 2017-11-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-31 | 2017-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-03 | 2017-08-29 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-03 | 2017-08-29 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-03 | 2017-08-29 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2017-04-10 | 2017-04-25 | Y |
| Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. | Health | 2016-06-17 | 2016-07-17 | Y |
| A written emergency evacuation plan. | Fire Safety | 2016-05-05 | 2016-06-13 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-05-05 | 2016-06-13 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-05-05 | 2016-06-13 | N |
| Properly constructed piped-in oxygen systems. | Fire Safety | 2016-05-05 | 2016-06-13 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-05 | 2016-06-13 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-05 | 2016-06-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2016-04-27 | 2016-06-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-04-27 | 2016-06-03 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-04-27 | 2016-06-03 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-04-27 | 2016-06-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-04-27 | 2016-06-03 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-04-27 | 2016-06-03 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-27 | 2016-06-03 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-04-27 | 2016-06-03 | N |
| Hire sufficient dietary support personnel. | Health | 2016-04-27 | 2016-06-03 | N |
| Provide food in a way that meets a resident's needs. | Health | 2016-04-27 | 2016-06-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-27 | 2016-06-03 | 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 | 2016-04-27 | 2016-06-03 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-04-27 | 2016-06-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-27 | 2016-06-03 | N |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2016-04-27 | 2016-06-03 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-04-27 | 2016-06-03 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-04-27 | 2016-06-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-27 | 2016-06-03 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-27 | 2016-06-03 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-21 | 2016-05-27 | Y |
| 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 | 2016-04-21 | 2016-05-27 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-21 | 2016-05-27 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-10-22 | 2015-11-20 | Y |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2015-05-15 | 2015-06-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-05-15 | 2015-06-20 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-05-15 | 2015-06-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-05-15 | 2015-06-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-05-15 | 2015-06-20 | N |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2015-05-15 | 2015-06-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-05-15 | 2015-06-20 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2015-05-15 | 2015-06-20 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-05-15 | 2015-06-20 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-05-20 | 2015-06-11 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-05-20 | 2015-06-11 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-05-20 | 2015-06-11 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-05-20 | 2015-06-11 | N |
