Deficiency Records for Mission Point Nsg and Physical Rehab Ctr of Belding
Updated as of December 01, 2018
This is not the most recent data for Mission Point Nsg and Physical Rehab Ctr of Belding. For the most recent information, click here.
A list of the most recent deficiencies for Mission Point Nsg and Physical Rehab Ctr of Belding. 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? |
|---|---|---|---|---|
| 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 | 2018-08-02 | 2018-08-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-18 | 2018-08-08 | 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 | 2018-06-18 | 2018-08-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-18 | 2018-08-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-18 | 2018-08-08 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-18 | 2018-08-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-18 | 2018-08-08 | 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 | 2018-06-18 | 2018-08-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-06-18 | 2018-08-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-18 | 2018-08-08 | 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 | 2018-06-18 | 2018-08-08 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-06-18 | 2018-08-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-18 | 2018-08-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-18 | 2018-08-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-18 | 2018-08-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-18 | 2018-08-08 | 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 | 2018-06-18 | 2018-08-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-06-18 | 2018-08-08 | N |
| Post nurse staffing information every day. | Health | 2018-06-18 | 2018-08-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-18 | 2018-08-08 | 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 ne | Health | 2018-06-18 | 2018-08-08 | N |
| Provide or obtain dental services for each resident. | Health | 2018-06-18 | 2018-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-18 | 2018-08-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-18 | 2018-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-18 | 2018-08-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-06-18 | 2018-08-08 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-06-18 | 2018-08-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-13 | 2018-07-13 | 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 | 2018-03-27 | 2018-05-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-27 | 2018-05-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-27 | 2018-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-10 | 2017-10-13 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-05-10 | 2017-05-26 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2017-05-10 | 2017-05-26 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-10 | 2017-05-26 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-04-28 | 2017-05-01 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-28 | 2017-05-01 | Y |
| 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 | 2017-04-28 | 2017-05-01 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-03-23 | 2017-05-01 | Y |
| Let residents voice a complaint or grievance without being treated differently or badly. | Health | 2017-03-23 | 2017-05-01 | N |
| Maintain comfortable sound levels. | Health | 2017-03-23 | 2017-05-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-23 | 2017-05-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-23 | 2017-05-01 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2017-03-23 | 2017-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-23 | 2017-05-01 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-03-23 | 2017-05-01 | 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 | 2017-03-23 | 2017-05-01 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-03-23 | 2017-05-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-23 | 2017-05-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-23 | 2017-05-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-23 | 2017-05-01 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-03-23 | 2017-05-01 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-03-23 | 2017-05-01 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-03-23 | 2017-05-01 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-23 | 2017-05-01 | Y |
| 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 | 2017-03-23 | 2017-05-01 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-22 | 2017-04-24 | 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 | 2017-03-22 | 2017-04-24 | N |
| 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 | 2017-03-22 | 2017-04-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-03-22 | 2017-04-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-22 | 2017-04-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-03-22 | 2017-04-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-03-22 | 2017-04-24 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-03-22 | 2017-04-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-03-22 | 2017-04-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-01 | 2016-10-26 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-09-01 | 2016-09-26 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-05-25 | 2016-06-15 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-05-25 | 2016-06-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-25 | 2016-06-15 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-05-25 | 2016-06-15 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-25 | 2016-06-15 | Y |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-03-30 | 2016-05-27 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-30 | 2016-05-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-30 | 2016-05-27 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-03-30 | 2016-04-21 | 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 | 2016-03-30 | 2016-04-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-30 | 2016-04-21 | N |
| Provide housekeeping and maintenance services. | Health | 2016-03-30 | 2016-04-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-30 | 2016-04-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-12-22 | 2016-01-15 | Y |
