Deficiency Records for Qhc Mitchellville, LLC
Updated as of January 01, 2023
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? |
---|---|---|---|---|
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-03-31 | 2022-04-30 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-31 | 2022-04-30 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2022-03-31 | 2022-04-30 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-03-31 | 2022-04-30 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-03-31 | 2022-04-25 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-31 | 2022-04-23 | N |
Have restrictions on the use of flammable curtains. | Fire Safety | 2022-03-31 | 2022-04-15 | 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 | 2022-03-25 | 2022-04-12 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-03-25 | 2022-04-12 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-31 | 2022-04-08 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-03-31 | 2022-04-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-31 | 2022-04-08 | N |
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 | 2022-03-01 | 2022-03-11 | 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 | 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 |