A list of the most recent deficiencies for Cass County Medical Care Facil. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-22 | 2023-05-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-22 | 2023-05-01 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-03-22 | 2023-05-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-22 | 2023-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-22 | 2023-05-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-22 | 2023-05-01 | 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 | 2023-03-22 | 2023-05-01 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-03-22 | 2023-05-01 | 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 | 2023-03-22 | 2023-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-22 | 2023-05-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-22 | 2023-05-01 | 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 | 2023-03-22 | 2023-05-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-14 | 2022-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-14 | 2022-01-31 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2021-12-14 | 2022-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-14 | 2022-01-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-14 | 2022-01-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-14 | 2022-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-14 | 2022-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-13 | 2022-01-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-13 | 2022-01-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-13 | 2022-01-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-10-07 | 2020-11-09 | 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 | 2020-10-07 | 2020-11-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-10-07 | 2020-11-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-10-07 | 2020-11-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-07 | 2020-11-09 | 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 | 2020-10-07 | 2020-11-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-10-07 | 2020-11-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-01 | 2020-11-09 | 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 | 2020-10-01 | 2020-11-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-01 | 2020-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-01 | 2020-11-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-10-01 | 2020-11-09 | N |
