Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Elmwood
Updated as of September 01, 2020
This is not the most recent data for Mission Point Nsg and Phy Rehab Ctr of Elmwood. For the most recent information, click here.
A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab Ctr of Elmwood. 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? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-29 | 2020-02-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-29 | 2020-02-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-07 | 2019-09-09 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-19 | 2019-07-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-19 | 2019-07-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-19 | 2019-07-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-19 | 2019-07-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-19 | 2019-07-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-20 | 2019-07-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-20 | 2019-07-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-20 | 2019-07-19 | 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 | 2019-06-20 | 2019-07-19 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-06-20 | 2019-07-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-20 | 2019-07-19 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-20 | 2019-07-19 | 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 | 2019-06-20 | 2019-07-19 | 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 | 2019-03-05 | 2019-04-10 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-03-05 | 2019-04-10 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-03-05 | 2019-04-10 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-01 | 2018-09-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-01 | 2018-09-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-01 | 2018-09-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-08-01 | 2018-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-01 | 2018-09-07 | N |
| Be properly staffed | Fire Safety | 2018-08-01 | 2018-09-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-01 | 2018-09-07 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-08-01 | 2018-08-31 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-08-01 | 2018-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-01 | 2018-08-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-01 | 2018-08-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-08-01 | 2018-08-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-08-01 | 2018-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-01 | 2018-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-01 | 2018-08-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-01 | 2018-08-31 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2018-08-01 | 2018-08-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-08-01 | 2018-08-31 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-08-01 | 2018-08-31 | 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 | 2018-08-01 | 2018-08-31 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-09-25 | 2017-10-14 | Y |
| 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 | 2017-06-06 | 2017-07-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-06-06 | 2017-07-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-06-06 | 2017-07-17 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-06-07 | 2017-07-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-07 | 2017-07-17 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-07 | 2017-07-17 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-06-07 | 2017-07-17 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-06-07 | 2017-07-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-07 | 2017-07-17 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-06-07 | 2017-07-17 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-06-07 | 2017-07-17 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-06-07 | 2017-07-17 | N |
| Hire a qualified dietician. | Health | 2017-06-07 | 2017-07-17 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-06-07 | 2017-07-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-07 | 2017-07-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-07 | 2017-07-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-07 | 2017-07-17 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-06-07 | 2017-07-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-07 | 2017-07-17 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-06-07 | 2017-07-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-07 | 2017-07-17 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-07 | 2017-07-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-07 | 2017-07-17 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-07 | 2017-07-17 | Y |
