A list of the most recent deficiencies for Mini-Cassia Care Center. 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? |
|---|---|---|---|---|
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-02-17 | 2023-03-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-27 | 2022-09-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-27 | 2022-09-01 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-05-27 | 2022-09-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-27 | 2022-09-01 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-05-27 | 2022-06-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-27 | 2022-06-25 | 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 | 2022-05-27 | 2022-06-25 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-05-27 | 2022-06-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-27 | 2022-06-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-27 | 2022-06-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-27 | 2022-06-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-27 | 2022-06-25 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-27 | 2022-06-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-27 | 2022-02-01 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-04-11 | 2019-04-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-04-11 | 2019-04-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-04-11 | 2019-04-26 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-04-11 | 2019-04-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-11 | 2019-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-11 | 2019-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-04-26 | N |
| Meet other general requirements. | Fire Safety | 2018-04-17 | 2018-05-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-17 | 2018-05-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-04-17 | 2018-05-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-17 | 2018-04-20 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-27 | 2018-03-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-10-27 | 2018-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-27 | 2017-12-12 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-27 | 2017-12-09 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-10-27 | 2017-12-09 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-10-27 | 2017-11-22 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-27 | 2017-10-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-02-01 | 2017-02-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-02-01 | 2017-02-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-01 | 2017-02-23 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-02-01 | 2017-02-23 | N |
