Deficiency Records for Qhc Mitchellville, LLC
Updated as of April 01, 2022
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 residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-02-02 | 2022-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-02 | 2022-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-06 | 2022-02-15 | 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 | 2021-08-18 | 2022-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-18 | 2022-02-15 | 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 | 2021-08-18 | 2022-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2022-02-15 | Y |
| Keep all essential equipment working safely. | Health | 2021-08-18 | 2022-02-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-18 | 2022-01-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-08-18 | 2022-01-08 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-01-04 | 2022-01-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-18 | 2021-09-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-18 | 2021-09-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-18 | 2021-09-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-18 | 2021-09-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-18 | 2021-09-01 | 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 | 2021-08-18 | 2021-09-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-18 | 2021-09-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-12 | 2020-12-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-12 | 2020-12-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-10-12 | 2020-12-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-10-12 | 2020-12-18 | 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 | 2020-10-12 | 2020-12-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-12 | 2020-12-18 | 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 | 2020-09-10 | 2020-10-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-10 | 2020-10-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-10 | 2020-10-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-09-10 | 2020-10-05 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2020-09-10 | 2020-10-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-05-28 | 2020-08-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-05-28 | 2020-08-06 | 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 | 2020-05-28 | 2020-08-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-05-28 | 2020-08-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-01-15 | 2020-02-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-15 | 2020-02-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-15 | 2020-02-02 | 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 | 2020-01-15 | 2020-02-02 | N |
| 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 | 2020-01-15 | 2020-02-02 | 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 | 2020-01-15 | 2020-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-15 | 2020-02-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-01-15 | 2020-02-02 | 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 | 2020-02-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-15 | 2020-02-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-15 | 2020-02-02 | 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 | 2020-02-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-15 | 2020-02-02 | 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 | 2020-02-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-15 | 2020-02-02 | 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 | 2020-02-02 | 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 | 2020-02-02 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-15 | 2020-02-02 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-09 | 2020-01-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-01-09 | 2020-01-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-01-09 | 2020-01-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-09 | 2020-01-17 | 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 | 2020-01-09 | 2020-01-09 | N |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
| 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 |
| 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 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-19 | 2017-11-01 | N |
| 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 |
