Deficiency Records for Mission Hills Post Acute Care
Updated as of June 01, 2020
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? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-10-10 | 2019-11-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-10 | 2019-11-10 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-10-10 | 2019-11-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-10-10 | 2019-11-10 | 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 | 2019-10-10 | 2019-11-10 | 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 | 2019-10-10 | 2019-11-10 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-10-10 | 2019-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-11-10 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-10-10 | 2019-11-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-10 | 2019-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-07 | 2019-06-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-07 | 2019-06-05 | Y |
| 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 | 2018-10-04 | 2018-11-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-04 | 2018-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-04 | 2018-11-01 | N |
| Provide appropriate foot care. | Health | 2018-10-04 | 2018-11-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-04 | 2018-11-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-04 | 2018-11-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-11-01 | N |
| Respond appropriately to all alleged violations. | Health | 2018-07-23 | 2018-08-10 | Y |
| 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 |
