Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Clinton Twp
Updated as of April 01, 2024
A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab Ctr of Clinton Twp. 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 treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-20 | 2023-10-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-20 | 2023-10-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-06 | 2023-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-20 | 2023-05-03 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-08 | 2023-03-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-02-08 | 2023-03-07 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-02-08 | 2023-03-07 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-02-08 | 2023-03-07 | Y |
| 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 | 2023-02-08 | 2023-03-07 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-02-08 | 2023-03-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-08 | 2023-03-07 | 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 | 2023-02-08 | 2023-03-07 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-02-08 | 2023-03-07 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-02-08 | 2023-03-07 | Y |
| 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 | 2023-02-08 | 2023-03-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-08 | 2023-03-07 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-02-08 | 2023-03-07 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-02-08 | 2023-03-07 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-08 | 2023-03-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-08 | 2023-03-07 | 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 | 2023-02-08 | 2023-03-07 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-08 | 2023-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-08 | 2023-03-07 | 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 | 2022-09-22 | 2022-10-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-22 | 2022-10-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-22 | 2022-10-18 | Y |
| Provide appropriate foot care. | Health | 2022-09-22 | 2022-10-18 | Y |
| 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 | 2022-09-22 | 2022-10-18 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-09-22 | 2022-10-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-22 | 2022-10-18 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-11-03 | 2021-11-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-03 | 2021-11-30 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-11-03 | 2021-11-30 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-11-03 | 2021-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-03 | 2021-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-03 | 2021-11-30 | N |
| Post nurse staffing information every day. | Health | 2021-11-03 | 2021-11-30 | 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 | 2021-11-03 | 2021-11-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-24 | 2020-10-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-24 | 2020-10-14 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-09-24 | 2020-10-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-24 | 2020-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-24 | 2020-10-14 | 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 | 2020-09-24 | 2020-10-14 | 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 | 2020-09-24 | 2020-10-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-09-24 | 2020-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-24 | 2020-10-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-24 | 2020-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-24 | 2020-10-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-24 | 2020-10-14 | 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 | 2020-09-24 | 2020-10-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-24 | 2020-10-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-09-24 | 2020-10-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-24 | 2020-10-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-24 | 2020-10-12 | N |
