A list of the most recent deficiencies for Mid Coast Senior Health 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-15 | 2023-06-12 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-03-15 | 2023-06-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-15 | 2023-05-02 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-03-15 | 2023-05-02 | 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 | 2023-03-15 | 2023-05-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-15 | 2023-05-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-05-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-15 | 2023-05-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-15 | 2023-05-02 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-03-15 | 2023-05-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-15 | 2023-05-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-15 | 2023-05-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-15 | 2023-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-16 | 2023-04-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-16 | 2023-03-16 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-04 | 2021-10-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-08-04 | 2021-10-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-08-04 | 2021-10-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-04 | 2021-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-04 | 2021-10-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-08-05 | 2021-09-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-04 | 2021-09-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-08-04 | 2021-09-16 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-08-04 | 2021-09-16 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-08-04 | 2021-09-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-04 | 2021-09-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-04 | 2021-09-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-04 | 2021-09-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-08-04 | 2021-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-04 | 2021-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-05 | 2021-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-05 | 2021-09-10 | 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 | 2021-08-05 | 2021-09-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-05 | 2021-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-05 | 2021-08-27 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2019-06-20 | 2019-08-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-20 | 2019-08-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-20 | 2019-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-20 | 2019-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-20 | 2019-08-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-20 | 2019-08-16 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-06-20 | 2019-08-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-20 | 2019-08-16 | 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 | 2019-06-20 | 2019-08-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-20 | 2019-08-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-20 | 2019-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-20 | 2019-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-20 | 2019-08-16 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-06-20 | 2019-08-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-20 | 2019-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-20 | 2019-08-16 | N |
