Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Woodward
Updated as of September 01, 2016
This is not the most recent data for Mission Point Nsg and Phy Rehab Ctr of Woodward. For the most recent information, click here.
A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab Ctr of Woodward. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-07-01 | 2016-08-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-07-01 | 2016-08-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-01 | 2016-08-09 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-09 | 2016-07-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-09 | 2016-07-06 | Y |
| 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 | 2016-04-07 | 2016-04-30 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-04-07 | 2016-04-30 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-09 | 2016-02-29 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-09 | 2016-02-29 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-12-11 | 2016-01-07 | Y |
| Exits that are accessible at all times. | Fire Safety | 2015-09-10 | 2015-11-04 | N |
| Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. | Health | 2015-10-06 | 2015-10-26 | Y |
| 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 | 2015-10-06 | 2015-10-26 | Y |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-09-10 | 2015-10-22 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2015-07-31 | 2015-10-08 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-07-31 | 2015-10-08 | Y |
| Properly maintained smoke detectors. | Fire Safety | 2015-09-10 | 2015-09-21 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Resident room doors of proper design and width. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| A separate and independent backup electrical power source. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-09-10 | 2015-09-14 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2015-07-31 | 2015-09-08 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-07-31 | 2015-09-08 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-07-31 | 2015-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-07-31 | 2015-09-08 | 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 | 2015-07-31 | 2015-09-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-07-31 | 2015-09-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-31 | 2015-09-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-07-31 | 2015-09-08 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2015-07-31 | 2015-09-08 | N |
| Keep all essential equipment working safely. | Health | 2015-07-31 | 2015-09-08 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2015-03-26 | 2015-04-16 | 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 | 2014-06-16 | 2014-07-13 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2014-06-16 | 2014-07-13 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-06-16 | 2014-07-13 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-06-16 | 2014-07-13 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-06-16 | 2014-07-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-06-16 | 2014-07-13 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-06-16 | 2014-07-13 | 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 | 2014-06-16 | 2014-07-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-06-16 | 2014-07-13 | N |
| Dispose of garbage and refuse properly. | Health | 2014-06-16 | 2014-07-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-06-16 | 2014-07-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-06-16 | 2014-07-13 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2014-06-16 | 2014-07-13 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2014-06-16 | 2014-07-13 | N |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2014-06-16 | 2014-07-13 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2014-06-16 | 2014-07-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-06-16 | 2014-07-13 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-04-25 | 2014-06-01 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-04-25 | 2014-06-01 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-04-25 | 2014-06-01 | N |
| An externally vented heating system. | Fire Safety | 2014-04-25 | 2014-06-01 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2014-04-25 | 2014-06-01 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-04-25 | 2014-06-01 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2014-03-13 | 2014-04-04 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-05-03 | 2013-06-06 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-05-03 | 2013-06-06 | N |
| Proper backup exit lighting. | Fire Safety | 2013-05-03 | 2013-06-06 | N |
| A written emergency evacuation plan. | Fire Safety | 2013-05-03 | 2013-06-06 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-05-03 | 2013-06-06 | N |
| Portable fire extinguishers. | Fire Safety | 2013-05-03 | 2013-06-06 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2013-05-03 | 2013-06-06 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2013-05-03 | 2013-06-06 | 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 | 2013-05-03 | 2013-06-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-05-03 | 2013-06-06 | N |
| Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2013-05-03 | 2013-06-06 | 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 | 2013-05-03 | 2013-06-06 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2013-05-03 | 2013-06-06 | N |
