Deficiency Records for Miracle Hill Nursing and Rehabilitation Center, Inc
Updated as of April 01, 2024
A list of the most recent deficiencies for Miracle Hill Nursing and Rehabilitation Center, Inc. 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? |
|---|---|---|---|---|
| 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 |
| 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 |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-05 | 2023-02-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-05 | 2023-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-07 | 2023-01-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-26 | 2021-11-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-08-26 | 2021-11-18 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-06-02 | 2021-07-02 | Y |
| 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 | 2020-03-11 | 2020-04-23 | N |
| Dispose of garbage and refuse properly. | Health | 2020-03-11 | 2020-04-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-10 | 2020-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-10 | 2020-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-10 | 2020-04-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-10 | 2020-04-08 | N |
