A list of the most recent deficiencies for Medilodge of Midland. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-18 | 2023-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-18 | 2023-08-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-18 | 2023-08-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-18 | 2023-08-08 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-07-18 | 2023-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-05 | 2022-10-25 | 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 | 2022-06-29 | 2022-08-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-29 | 2022-08-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-29 | 2022-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-29 | 2022-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-08-01 | 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 | 2022-06-29 | 2022-08-01 | 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 | 2022-06-29 | 2022-08-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-29 | 2022-08-01 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-28 | 2022-08-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-28 | 2022-08-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-28 | 2022-08-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-28 | 2022-08-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-28 | 2022-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-28 | 2022-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-03 | 2022-01-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-26 | 2021-09-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-26 | 2021-09-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-26 | 2021-09-17 | 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 | 2021-08-26 | 2021-09-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-26 | 2021-09-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-26 | 2021-09-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-26 | 2021-09-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-02 | 2021-09-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-02 | 2021-09-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-02 | 2021-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-02 | 2021-08-02 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-09 | 2020-09-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-09 | 2020-04-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-09 | 2020-04-14 | 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 | 2020-03-09 | 2020-04-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-03-09 | 2020-04-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-03-09 | 2020-04-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-09 | 2020-04-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-03-09 | 2020-04-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-09 | 2020-04-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-09 | 2020-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-09 | 2020-04-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-12 | 2020-04-07 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2020-03-12 | 2020-04-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-12 | 2020-04-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-03-12 | 2020-04-07 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-03-12 | 2020-04-07 | 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 | 2020-03-12 | 2020-04-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-03-12 | 2020-04-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-12 | 2020-04-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-12 | 2020-04-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-12 | 2020-04-07 | N |
| Respond appropriately to all alleged violations. | Health | 2020-03-12 | 2020-04-07 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-03-12 | 2020-04-07 | 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 | 2020-03-12 | 2020-04-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-04-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-12 | 2020-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-12 | 2020-04-07 | 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 | 2020-03-12 | 2020-04-07 | N |
| 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 | 2020-03-12 | 2020-04-07 | N |
| Post nurse staffing information every day. | Health | 2020-03-12 | 2020-04-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-03-12 | 2020-04-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-03-12 | 2020-04-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-12 | 2020-04-07 | 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 | 2020-03-12 | 2020-04-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-03-12 | 2020-04-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-12 | 2020-04-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-03-12 | 2020-04-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-03-12 | 2020-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-04-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-03-12 | 2020-04-07 | N |
