CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Miracle Hill Nursing and Rehabilitation Center, Inc
View the most recent health deficiencies and inspection results for Miracle Hill Nursing and Rehabilitation Center, Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Miracle Hill Nursing and Rehabilitation Center, Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-11-19 | 2026-01-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-27 | 2025-10-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-05 | 2025-08-05 | N |
| 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 | 2025-06-05 | 2025-08-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-05 | 2025-08-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-06-05 | 2025-08-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-06-05 | 2025-08-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-05 | 2025-08-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-05 | 2025-08-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-05 | 2025-08-05 | 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 | 2025-06-05 | 2025-08-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-06-05 | 2025-08-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-05 | 2025-08-05 | 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 | 2025-06-05 | 2025-08-05 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-06-05 | 2025-08-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-06-05 | 2025-08-05 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-06-05 | 2025-08-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-06-05 | 2025-07-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-06-05 | 2025-07-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| Develop a communication plan. | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-06-05 | 2025-07-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-15 | 2025-05-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-04-15 | 2025-05-15 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-03-14 | 2024-05-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-14 | 2024-04-14 | 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 | 2024-03-14 | 2024-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-14 | 2024-04-14 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-03-14 | 2024-04-14 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-03-14 | 2024-04-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-03-14 | 2024-04-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-03 | 2023-09-01 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-08-03 | 2023-09-01 | Y |
| 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 | 2023-08-03 | 2023-09-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-07 | 2023-02-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-07 | 2023-02-13 | N |