Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Cedar Springs
Updated as of April 01, 2024
A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab Ctr of Cedar Springs. 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-01-03 | 2024-01-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-18 | 2023-11-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-03 | 2022-12-16 | 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 | 2022-11-03 | 2022-12-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-03 | 2022-12-16 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-11-03 | 2022-12-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-03 | 2022-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2022-12-05 | 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 | 2022-11-03 | 2022-12-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-03 | 2022-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-03 | 2022-12-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-26 | 2022-08-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-26 | 2022-08-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-26 | 2022-08-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-26 | 2022-08-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-26 | 2022-08-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-21 | 2021-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-21 | 2021-08-12 | 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 | 2021-07-20 | 2021-08-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-20 | 2021-08-12 | 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 | 2021-05-05 | 2021-05-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-05 | 2021-05-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-05 | 2021-01-28 | Y |
