A list of the most recent deficiencies for Midlands Living Center L L C. 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-20 | 2024-01-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-21 | 2024-01-08 | 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 | 2023-12-21 | 2024-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-08 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-12-21 | 2024-01-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-20 | 2023-12-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-20 | 2023-12-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-20 | 2023-12-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-10-06 | 2022-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-06 | 2022-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-06 | 2022-11-17 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-10 | 2022-10-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-10 | 2022-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-10 | 2022-10-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-10 | 2022-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-10 | 2022-10-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-10 | 2022-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-10 | 2022-10-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-10 | 2022-10-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-13 | 2021-06-18 | 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 | 2021-05-13 | 2021-06-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-13 | 2021-06-18 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-05-14 | 2021-06-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-14 | 2021-05-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-14 | 2021-05-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-14 | 2021-05-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-14 | 2021-05-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-14 | 2021-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-14 | 2021-05-17 | N |
