A list of the most recent deficiencies for M I Nursing and Restorative 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-23 | 2023-10-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-23 | 2023-10-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-23 | 2023-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-23 | 2023-10-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-27 | 2023-10-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-03 | 2023-10-20 | 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 | 2023-10-03 | 2023-10-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-03 | 2023-10-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-03 | 2023-10-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-03 | 2023-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-03 | 2023-10-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-20 | 2022-10-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-20 | 2022-10-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-09 | 2022-09-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-09 | 2022-09-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-09 | 2022-09-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-09-09 | 2022-09-28 | N |
| Provide appropriate foot care. | Health | 2022-09-09 | 2022-09-28 | 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 | 2022-09-09 | 2022-09-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-09 | 2022-09-28 | N |
| Provide or obtain dental services for each resident. | Health | 2022-09-09 | 2022-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-09 | 2022-09-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-09-09 | 2022-09-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-23 | 2022-03-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-17 | 2021-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-09-14 | 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 | 2019-12-30 | 2020-01-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-30 | 2020-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-30 | 2020-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-30 | 2020-01-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-15 | 2019-12-13 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-15 | 2019-12-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-15 | 2019-12-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-15 | 2019-12-13 | 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 | 2019-11-15 | 2019-12-13 | 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 | 2019-11-15 | 2019-12-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-15 | 2019-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-15 | 2019-12-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-15 | 2019-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-15 | 2019-12-13 | N |
