Deficiency Records for Miracle Hill Nursing and Rehabilitation Center, Inc
Updated as of May 01, 2024
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Deficiency Records for Miracle Hill Nursing and Rehabilitation Center, Inc
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.
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? |
|---|---|---|---|---|
| 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 |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-03-14 | 2024-04-14 | N |
| Ensure each resident receives an accurate assessment. | 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 |
| 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 |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-03-14 | 2024-04-14 | 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 | 2024-04-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-14 | 2024-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-14 | 2024-04-14 | 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 | 2024-04-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-14 | 2024-04-14 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-03-14 | 2024-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-14 | 2024-04-14 | 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 | 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 |
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