Deficiency Records for Qhc Mitchellville, LLC
Updated as of July 01, 2019
This is not the most recent data for Qhc Mitchellville, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Qhc Mitchellville, LLC. 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? |
|---|---|---|---|---|
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-03-26 | 2019-04-01 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-28 | 2019-02-28 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-01-24 | 2019-02-24 | 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 | 2019-01-24 | 2019-02-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-24 | 2019-02-24 | 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 | 2019-01-24 | 2019-02-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-01-24 | 2019-02-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-24 | 2019-02-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-24 | 2019-02-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-24 | 2019-02-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-24 | 2019-02-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-24 | 2019-02-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-01-24 | 2019-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-24 | 2019-02-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-24 | 2019-02-24 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-01-24 | 2019-02-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-01-28 | 2019-02-08 | N |
| Be properly staffed | Fire Safety | 2019-01-28 | 2019-02-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-28 | 2019-02-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-03 | 2019-01-21 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2019-01-03 | 2019-01-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-01 | 2018-12-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-01 | 2018-12-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-11-01 | 2018-12-01 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2018-03-28 | 2018-03-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-28 | 2018-03-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-28 | 2018-03-29 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-03-28 | 2018-03-29 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-03-28 | 2018-03-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-09 | 2018-03-20 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-03-09 | 2018-03-20 | 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 | 2017-10-19 | 2017-11-01 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-10-19 | 2017-11-01 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-10-19 | 2017-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-19 | 2017-11-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-10-19 | 2017-11-01 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-19 | 2017-11-01 | 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 | 2017-10-19 | 2017-11-01 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-19 | 2017-11-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-19 | 2017-11-01 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-19 | 2017-11-01 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-10-23 | 2017-10-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-23 | 2017-10-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-08-21 | 2017-08-22 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-08-21 | 2017-08-22 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-08-21 | 2017-08-22 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-08-21 | 2017-08-22 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-05-18 | 2017-05-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-13 | 2017-04-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-13 | 2017-04-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-24 | 2017-02-24 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-01-24 | 2017-02-24 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-24 | 2017-02-24 | Y |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-09-06 | 2016-10-20 | N |
| Approved construction type or materials. | Fire Safety | 2016-09-06 | 2016-10-06 | N |
| Fire resistant interior walls. | Fire Safety | 2016-09-06 | 2016-10-06 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-09-06 | 2016-10-06 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-09-06 | 2016-10-06 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-09-06 | 2016-10-06 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-09-06 | 2016-10-06 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-09-06 | 2016-10-06 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-06 | 2016-10-06 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-09-06 | 2016-10-06 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-09-06 | 2016-10-06 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-09-06 | 2016-10-06 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-09-06 | 2016-10-06 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-09-01 | 2016-10-03 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-09-01 | 2016-10-03 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-09-01 | 2016-10-03 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-09-01 | 2016-10-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-01 | 2016-10-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-01 | 2016-10-03 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-09-01 | 2016-10-03 | Y |
| 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 | 2016-09-01 | 2016-10-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-09-01 | 2016-10-03 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-09-01 | 2016-10-03 | Y |
