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Deficiency Records for Mesun Health and Rehabilitation Center

View the most recent health deficiencies and inspection results for Mesun Health and Rehabilitation Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Mesun Health and Rehabilitation Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure medication error rates are not 5 percent or greater. Health 2025-11-21 2026-01-26 N
Respond appropriately to all alleged violations. Health 2025-11-21 2026-01-05 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2025-11-21 2026-01-05 Y
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Health 2025-11-21 2026-01-05 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-11-21 2026-01-05 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2025-11-21 2026-01-05 N
Provide activities to meet all resident's needs. Health 2025-11-21 2026-01-05 N
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 2025-11-21 2026-01-05 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2025-11-21 2026-01-05 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-07-18 2024-10-18 Y
Provide and implement an infection prevention and control program. Health 2024-07-18 2024-09-17 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-18 2024-09-17 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-18 2024-09-17 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-07-18 2024-09-17 Y
Conduct testing and exercise requirements. Fire Safety 2024-07-18 2024-08-30 N
Have proper medical gas storage and administration areas. Fire Safety 2024-07-18 2024-08-30 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-07-18 2024-08-30 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-07-18 2024-08-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-18 2024-08-30 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-07-18 2024-08-30 N
Meet other general requirements. Fire Safety 2024-07-18 2024-08-30 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-07-18 2024-08-30 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-12-06 2024-01-19 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-06 2024-01-19 Y
Ensure staff are vaccinated for COVID-19 Health 2022-05-25 2022-07-29 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-05-25 2022-07-29 N
Report COVID19 data to residents and families. Health 2022-05-25 2022-07-29 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-05-25 2022-07-29 N
Provide and implement an infection prevention and control program. Health 2022-05-25 2022-07-29 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-05-25 2022-07-29 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-05-25 2022-07-29 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2022-05-25 2022-07-29 N
Provide enough food/fluids to maintain a resident's health. Health 2022-05-25 2022-07-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-25 2022-07-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-25 2022-07-29 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-05-25 2022-07-29 N
Respond appropriately to all alleged violations. Health 2022-05-25 2022-07-29 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-05-25 2022-07-29 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-05-25 2022-07-29 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-05-25 2022-07-29 N

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