Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Warren
Updated as of September 01, 2020
This is not the most recent data for Mission Point Nsg and Phy Rehab Ctr of Warren. For the most recent information, click here.
A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab Ctr of Warren. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-30 | 2019-11-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-09-17 | 2019-10-10 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-20 | 2019-06-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-07 | 2019-06-05 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-02-08 | 2019-04-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-08 | 2019-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-08 | 2019-04-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-08 | 2019-04-12 | N |
| Be properly staffed | Fire Safety | 2019-02-08 | 2019-04-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-26 | 2019-03-25 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-02-26 | 2019-03-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-26 | 2019-03-25 | 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 | 2019-02-05 | 2019-03-17 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-02-05 | 2019-03-17 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-02-05 | 2019-03-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-02-05 | 2019-03-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-05 | 2019-03-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-05 | 2019-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-05 | 2019-03-17 | 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 | 2019-02-05 | 2019-03-17 | 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 | 2019-02-05 | 2019-03-17 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-02-05 | 2019-03-17 | 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 | 2019-02-05 | 2019-03-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-05 | 2019-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-05 | 2019-03-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-02-05 | 2019-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-05 | 2019-03-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-17 | 2019-02-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-05-17 | 2018-06-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-17 | 2018-06-07 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-01-10 | 2018-02-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-10 | 2018-02-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-01-10 | 2018-02-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-10 | 2018-02-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-10 | 2018-02-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-12 | 2018-02-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-01-12 | 2018-02-19 | N |
| 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 | 2018-01-12 | 2018-02-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-01-12 | 2018-02-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-12 | 2018-02-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-12 | 2018-02-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-12 | 2018-02-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-12 | 2018-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-12 | 2018-02-19 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-01-12 | 2018-02-19 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-01-12 | 2018-02-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-12 | 2018-02-19 | 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 | 2018-01-12 | 2018-02-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-01-12 | 2018-02-19 | 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 | 2018-01-12 | 2018-02-19 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-01-12 | 2018-02-19 | N |
| Provide or obtain dental services for each resident. | Health | 2018-01-12 | 2018-02-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-12 | 2018-02-19 | N |
| Dispose of garbage and refuse properly. | Health | 2018-01-12 | 2018-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-12 | 2018-02-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-01-12 | 2018-02-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-01-12 | 2018-02-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-12 | 2018-02-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-19 | 2018-01-02 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-08-02 | 2017-08-18 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-03 | 2017-05-29 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-03-21 | 2017-04-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-03-21 | 2017-04-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-21 | 2017-04-17 | 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 | 2017-03-21 | 2017-04-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-03-21 | 2017-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-03-21 | 2017-04-17 | N |
| Tell the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2017-03-22 | 2017-04-17 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-22 | 2017-04-17 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-22 | 2017-04-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-22 | 2017-04-17 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-03-22 | 2017-04-17 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-03-22 | 2017-04-17 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-03-22 | 2017-04-17 | 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 | 2017-03-22 | 2017-04-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-22 | 2017-04-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-22 | 2017-04-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-22 | 2017-04-17 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-03-22 | 2017-04-17 | N |
