Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Clawson
Updated as of July 01, 2019
This is not the most recent data for Mission Point Nsg and Phy Rehab Ctr of Clawson. For the most recent information, click here.
A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab Ctr of Clawson. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-23 | 2019-05-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-29 | 2018-12-08 | N |
| Respond appropriately to all alleged violations. | Health | 2018-10-29 | 2018-12-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-29 | 2018-12-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-10-29 | 2018-12-08 | N |
| Provide appropriate foot care. | Health | 2018-10-29 | 2018-12-08 | 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 | 2018-10-29 | 2018-12-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-29 | 2018-12-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-29 | 2018-12-08 | 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 | 2018-10-29 | 2018-12-08 | 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 ne | Health | 2018-10-29 | 2018-12-08 | 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 | 2018-10-29 | 2018-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-29 | 2018-12-08 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-10-29 | 2018-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-29 | 2018-12-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-10-29 | 2018-12-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-29 | 2018-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-29 | 2018-12-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-10-29 | 2018-12-08 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-25 | 2018-11-28 | 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 | 2018-10-25 | 2018-11-28 | 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 | 2018-10-25 | 2018-11-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-25 | 2018-11-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-25 | 2018-11-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-26 | 2018-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-26 | 2018-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-26 | 2018-08-16 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-07-26 | 2018-08-16 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-07-26 | 2018-08-16 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-07-26 | 2018-08-16 | Y |
| 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 | 2017-12-08 | 2017-12-29 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2017-11-30 | 2017-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-22 | 2017-09-23 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-31 | 2017-09-18 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-08-31 | 2017-09-18 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-08-09 | 2017-09-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-08-09 | 2017-09-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-09 | 2017-09-11 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2017-08-09 | 2017-09-11 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-10 | 2017-09-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-08-10 | 2017-09-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-08-10 | 2017-09-10 | N |
| Provide clean bed and bath linens that are in good condition. | Health | 2017-08-10 | 2017-09-10 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-08-10 | 2017-09-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-10 | 2017-09-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-10 | 2017-09-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-10 | 2017-09-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-10 | 2017-09-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-10 | 2017-09-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-10 | 2017-09-10 | N |
| Keep all essential equipment working safely. | Health | 2017-08-10 | 2017-09-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-08-10 | 2017-09-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-12 | 2017-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-29 | 2017-04-13 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-03-07 | 2017-03-30 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-03-07 | 2017-03-30 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-03-07 | 2017-03-30 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-07 | 2017-03-30 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-01-24 | 2017-02-09 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-24 | 2017-02-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-24 | 2017-02-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-11-07 | 2016-12-02 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-07-20 | 2016-09-06 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-07-20 | 2016-09-06 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-07-19 | 2016-08-10 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-07-19 | 2016-08-10 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-07-19 | 2016-08-10 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-07-19 | 2016-08-10 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-07-19 | 2016-08-10 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-07-20 | 2016-08-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-07-20 | 2016-08-10 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-07-20 | 2016-08-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-20 | 2016-08-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-07-20 | 2016-08-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-07-20 | 2016-08-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-07-20 | 2016-08-10 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-07-20 | 2016-08-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-07-20 | 2016-08-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-07-20 | 2016-08-10 | N |
