Deficiency Records for Mount Hope Nursing Center
Updated as of July 01, 2021
This is not the most recent data for Mount Hope Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Mount Hope Nursing Center. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Use approved construction type or materials. | Fire Safety | 2020-03-12 | 2020-04-17 | 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 | 2020-03-12 | 2020-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-12 | 2020-04-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-12 | 2020-03-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-01 | 2019-04-18 | 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 | 2019-04-01 | 2019-04-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-01 | 2019-04-09 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2019-01-08 | 2019-01-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-08 | 2019-01-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-08 | 2019-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-08 | 2019-01-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-08 | 2019-01-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-08 | 2019-01-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-08 | 2019-01-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-08 | 2019-01-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-08 | 2019-01-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-08 | 2019-01-14 | N |
| Respond appropriately to all alleged violations. | Health | 2018-07-13 | 2018-07-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-13 | 2018-07-27 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-05-14 | 2018-06-07 | 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 | 2018-05-14 | 2018-06-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-05-14 | 2018-06-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-05-14 | 2018-06-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-14 | 2018-06-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-14 | 2018-06-07 | N |
| Respond appropriately to all alleged violations. | Health | 2018-05-14 | 2018-06-07 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-05-14 | 2018-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-14 | 2018-06-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-05-14 | 2018-06-07 | 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 | 2018-05-14 | 2018-06-07 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-05-14 | 2018-06-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-05-14 | 2018-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-12 | 2017-04-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-04-12 | 2017-04-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-12 | 2017-04-21 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-04-12 | 2017-04-20 | N |
| Use approved construction type or materials. | Fire Safety | 2017-04-12 | 2017-04-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-04-12 | 2017-04-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-04-12 | 2017-04-17 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-04-12 | 2017-04-17 | N |
