Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Clawson
Updated as of June 01, 2022
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-25 | 2022-03-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-25 | 2022-02-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-25 | 2022-02-22 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-01-25 | 2022-02-22 | 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 | 2022-01-25 | 2022-02-22 | Y |
| 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 | 2022-01-25 | 2022-02-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-25 | 2022-02-22 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-12-14 | 2022-01-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-12-14 | 2022-01-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-14 | 2022-01-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-14 | 2022-01-21 | N |
| Provide appropriate foot care. | Health | 2021-12-14 | 2022-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-14 | 2022-01-21 | 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 | 2021-12-14 | 2022-01-21 | 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 | 2021-12-14 | 2022-01-21 | 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 | 2021-12-14 | 2022-01-21 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-12-14 | 2022-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-14 | 2022-01-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-12-14 | 2022-01-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-14 | 2022-01-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-13 | 2022-01-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-13 | 2022-01-21 | 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 | 2021-12-13 | 2022-01-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-12-13 | 2022-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-13 | 2022-01-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-13 | 2022-01-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-13 | 2022-01-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-25 | 2021-10-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-25 | 2021-10-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-25 | 2021-10-01 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-25 | 2021-10-01 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-06-25 | 2021-07-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-25 | 2021-07-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-25 | 2021-07-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-11-12 | 2020-12-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-22 | 2020-11-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-10-22 | 2020-11-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-10-22 | 2020-11-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-08-26 | 2020-09-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-08-26 | 2020-09-17 | 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 | 2020-08-26 | 2020-09-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-26 | 2020-09-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-07-09 | 2020-09-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-04 | 2020-09-09 | Y |
| Report COVID19 data to residents and families. | Health | 2020-08-04 | 2020-09-09 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2020-07-09 | 2020-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-07-09 | 2020-08-05 | Y |
| 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 | 2020-07-09 | 2020-08-05 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-07-09 | 2020-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-11 | 2020-04-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-15 | 2020-03-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-15 | 2020-03-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-15 | 2020-03-22 | Y |
| 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 | 2020-01-15 | 2020-02-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-15 | 2020-02-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-15 | 2020-02-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-15 | 2020-02-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-15 | 2020-02-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-15 | 2020-02-18 | 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 | 2020-01-15 | 2020-02-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-15 | 2020-02-18 | 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 | 2020-01-15 | 2020-02-18 | 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 | 2020-01-15 | 2020-02-18 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-01-15 | 2020-02-18 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2020-01-15 | 2020-02-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-15 | 2020-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-15 | 2020-02-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-16 | 2020-02-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-20 | 2019-12-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-20 | 2019-12-19 | Y |
| 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 | 2019-11-20 | 2019-12-19 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-11-20 | 2019-12-19 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-11-20 | 2019-12-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-03 | 2019-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-03 | 2019-07-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-03 | 2019-07-07 | 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-29 | 2018-12-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 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 | 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 necessary and PRN use is limited. | 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 |
| 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 |
