Deficiency Records for Qhc Mitchellville, LLC
Updated as of March 01, 2020
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 |
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 |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-09-01 | 2016-10-03 | 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 | 2016-09-01 | 2016-10-03 | 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 |
Ensure services provided by the nursing facility meet professional standards of quality. | 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 |
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 | 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 |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-15 | Not Fixed | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-15 | Not Fixed | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-15 | Not Fixed | Y |
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 | 2020-01-15 | Not Fixed | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-15 | Not Fixed | Y |
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 | 2020-01-15 | Not Fixed | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-15 | Not Fixed | 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 | 2020-01-15 | Not Fixed | Y |
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 | 2020-01-15 | Not Fixed | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-15 | Not Fixed | Y |
Provide and implement an infection prevention and control program. | Health | 2020-01-15 | Not Fixed | Y |