Deficiency Records for Miracle Hill Nursing and Rehabilitation Center, Inc
Updated as of October 01, 2018
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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-01-03 | 2018-01-22 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-01-03 | 2018-01-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-03 | 2018-01-22 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-10 | 2017-11-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-10-10 | 2017-11-03 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2017-10-10 | 2017-11-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-10-10 | 2017-11-03 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-10-12 | 2017-11-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-12 | 2017-11-03 | N |
| 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 | 2017-10-12 | 2017-11-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-12 | 2017-11-03 | N |
| Keep all essential equipment working safely. | Health | 2017-10-12 | 2017-11-03 | N |
| Provide housekeeping and maintenance services. | Health | 2016-11-04 | 2017-01-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-04 | 2017-01-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-11-04 | 2017-01-23 | 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 | 2016-11-01 | 2017-01-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-11-01 | 2017-01-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-04 | 2016-12-04 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-11-04 | 2016-12-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-11-04 | 2016-12-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-04 | 2016-12-04 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-11-04 | 2016-12-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-11-01 | 2016-11-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2016-11-01 | 2016-11-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-11-01 | 2016-11-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-11-01 | 2016-11-04 | N |
| 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 |
