Deficiency Records for Mission Point Nsg and Physical Rehab Ctr of Lamont
Updated as of April 01, 2024
A list of the most recent deficiencies for Mission Point Nsg and Physical Rehab Ctr of Lamont. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-10 | 2024-02-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-10 | 2024-02-01 | Y |
| 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 | 2024-01-10 | 2024-02-01 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2024-01-17 | 2024-02-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-10-31 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-17 | 2023-10-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-24 | 2023-03-17 | 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 | 2023-01-24 | 2023-03-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-24 | 2023-03-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-24 | 2023-03-17 | N |
| Keep all essential equipment working safely. | Health | 2023-01-24 | 2023-03-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-24 | 2023-03-17 | 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 | 2023-01-24 | 2023-02-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-24 | 2023-02-17 | 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 | 2023-01-24 | 2023-02-17 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-01-24 | 2023-02-17 | N |
| Post nurse staffing information every day. | Health | 2023-01-24 | 2023-02-17 | 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 | 2023-01-24 | 2023-02-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-01-24 | 2023-02-17 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-01-24 | 2023-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-24 | 2023-02-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-01-24 | 2023-02-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-24 | 2023-02-17 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-01-24 | 2023-02-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-24 | 2023-02-17 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-01-19 | 2023-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-19 | 2023-02-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-28 | 2021-12-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-28 | 2021-12-04 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-10-28 | 2021-12-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-28 | 2021-12-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-10-28 | 2021-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-28 | 2021-12-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-28 | 2021-12-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-28 | 2021-12-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-28 | 2021-12-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-10-28 | 2021-12-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-28 | 2021-12-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-28 | 2021-12-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-28 | 2021-12-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-29 | 2021-11-17 | 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 | 2021-10-29 | 2021-11-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-29 | 2021-11-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-29 | 2021-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-29 | 2021-11-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-29 | 2021-11-17 | Y |
