A list of the most recent deficiencies for Mozaic Senior Life. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-19 | 2023-12-19 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-19 | 2023-12-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-19 | 2023-12-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-19 | 2023-12-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-19 | 2023-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-12-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-19 | 2023-12-19 | 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 | 2023-10-19 | 2023-12-19 | 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 | 2023-10-19 | 2023-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-12-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-19 | 2023-12-19 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-10-19 | 2023-12-19 | N |
| Meet other general requirements. | Fire Safety | 2023-10-16 | 2023-11-28 | 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 | 2023-10-16 | 2023-11-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-16 | 2023-11-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-16 | 2023-11-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-16 | 2023-11-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-16 | 2023-11-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-16 | 2023-11-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-16 | 2023-11-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-16 | 2023-11-28 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-10-16 | 2023-11-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-10-16 | 2023-11-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-16 | 2023-11-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-16 | 2023-11-28 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-08-23 | 2022-10-03 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-08-23 | 2022-10-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-23 | 2022-08-23 | Y |
| 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 | 2021-11-08 | 2022-01-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-08 | 2022-01-12 | 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 | 2021-11-08 | 2022-01-12 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-08 | 2022-01-12 | N |
| Have an externally vented heating system. | Fire Safety | 2021-11-08 | 2022-01-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-11-08 | 2022-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-15 | 2022-01-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-09 | 2021-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2021-12-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-11-09 | 2021-12-21 | 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 | 2021-11-09 | 2021-12-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-06 | 2019-07-05 | N |
