Deficiency Records for Mystic Healthcare and Rehabilitation Center, LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Mystic Healthcare and Rehabilitation Center, LLC. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-08 | 2023-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-08 | 2023-12-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-08 | 2023-12-20 | 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 | 2023-11-08 | 2023-12-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-08 | 2023-12-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-08 | 2023-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-08 | 2023-12-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-08 | 2023-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-08 | 2023-12-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-08 | 2023-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-08 | 2023-12-20 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2023-11-08 | 2023-12-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-11-08 | 2023-11-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-02 | 2022-03-02 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-02-02 | 2022-03-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-27 | 2021-10-07 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-09-27 | 2021-10-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-27 | 2021-10-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-27 | 2021-10-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-27 | 2021-10-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-26 | 2021-10-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-07-26 | 2021-10-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-26 | 2021-10-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-26 | 2021-10-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-02 | 2021-09-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-08-02 | 2021-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-02 | 2021-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-02 | 2021-09-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-02 | 2021-09-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-02 | 2021-09-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-02 | 2021-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-02 | 2021-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-04 | 2019-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-04 | 2019-05-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-04 | 2019-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-04 | 2019-05-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-04 | 2019-05-01 | N |
