Deficiency Records for Mackinac Straits Long Term Care Unit
Updated as of May 01, 2024
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Deficiency Records for Mackinac Straits Long Term Care Unit
A list of the most recent deficiencies for Mackinac Straits Long Term Care Unit. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Mackinac Straits Long Term Care Unit. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2023-07-26 | 2023-09-11 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-07-26 | 2023-09-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-07-26 | 2023-09-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-26 | 2023-09-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-26 | 2023-09-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-26 | 2023-09-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-21 | 2023-09-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-07-21 | 2023-09-04 | 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 | 2023-07-21 | 2023-09-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-17 | 2022-10-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-17 | 2022-10-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-17 | 2022-10-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-17 | 2022-10-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-18 | 2022-09-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-08-18 | 2022-09-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-18 | 2022-09-26 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-18 | 2022-09-26 | 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 | 2022-08-18 | 2022-09-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-18 | 2022-09-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-08-18 | 2022-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-09-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-18 | 2022-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-18 | 2022-09-26 | N |
| 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 | 2022-08-18 | 2022-09-26 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-08-18 | 2022-09-26 | 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 | 2022-08-18 | 2022-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-18 | 2022-09-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-26 | 2022-05-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-26 | 2022-05-27 | 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 | 2022-04-26 | 2022-05-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-26 | 2022-05-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-26 | 2022-05-27 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-05-04 | 2021-10-08 | 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 | 2021-05-05 | 2021-06-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-05 | 2021-06-04 | 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 | 2021-05-05 | 2021-06-04 | 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 | 2021-05-04 | 2021-05-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-04 | 2021-05-14 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-05-04 | 2021-05-04 | N |
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