Deficiency Records for Miracle Hill Nursing and Rehabilitation Center, Inc
Updated as of September 01, 2016
This is not the most recent data for Miracle Hill Nursing and Rehabilitation Center, Inc. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-10-15 | 2015-12-18 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-10-15 | 2015-12-18 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-10-15 | 2015-12-18 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2015-10-15 | 2015-12-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-10-15 | 2015-12-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-10-15 | 2015-11-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-10-15 | 2015-11-15 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2015-10-15 | 2015-11-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-15 | 2015-11-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-10-15 | 2015-11-15 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2015-10-20 | 2015-11-03 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-10-20 | 2015-11-02 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2015-07-27 | 2015-08-21 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2014-12-18 | 2015-01-18 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-12-18 | 2015-01-18 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-12-18 | 2015-01-18 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2014-12-18 | 2015-01-18 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-12-15 | 2015-01-18 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-12-15 | 2015-01-18 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-12-15 | 2015-01-18 | N |
| Properly constructed linen or trash chutes. | Fire Safety | 2014-12-15 | 2015-01-18 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-12-15 | 2015-01-18 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2014-12-15 | 2015-01-18 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-12-15 | 2015-01-18 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-02-10 | 2014-03-10 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-02-10 | 2014-03-10 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-02-10 | 2014-03-10 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-02-10 | 2014-03-10 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2014-02-10 | 2014-03-10 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-10-25 | 2014-01-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2013-10-25 | 2014-01-03 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2013-10-24 | 2013-12-03 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2013-10-25 | 2013-11-08 | N |
