Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Woodward
Updated as of January 01, 2023
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? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-03 | 2022-12-05 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-03 | 2022-12-05 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-03 | 2022-12-05 | N |
Keep residents' personal and medical records private and confidential. | Health | 2022-11-03 | 2022-12-05 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-11-03 | 2022-12-05 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-03 | 2022-12-05 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-11-03 | 2022-12-02 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-03 | 2022-12-02 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-03 | 2022-12-02 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-11-03 | 2022-12-02 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-03 | 2022-12-02 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-11-03 | 2022-12-02 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2022-11-03 | 2022-12-02 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-03 | 2022-12-02 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-03 | 2022-12-02 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-06-10 | Y |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-09-02 | 2021-12-31 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-02 | 2021-11-05 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-09-02 | 2021-11-05 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-02 | 2021-10-17 | 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 | 2021-09-02 | 2021-10-17 | 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 | 2021-09-02 | 2021-10-17 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-02 | 2021-10-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-02 | 2021-10-17 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-02 | 2021-10-17 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-02 | 2021-10-17 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-09-02 | 2021-10-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-02 | 2021-10-17 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-02 | 2021-10-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-02 | 2021-10-17 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-02 | 2021-10-11 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-02 | 2021-10-11 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-02 | 2021-10-11 | N |
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 | 2021-09-02 | 2021-10-11 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-02 | 2021-10-11 | N |
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 | 2021-09-02 | 2021-10-11 | N |
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 | 2021-09-02 | 2021-10-11 | N |
Post nurse staffing information every day. | Health | 2021-09-02 | 2021-10-11 | N |
Ensure that residents are free from significant medication errors. | Health | 2021-09-02 | 2021-10-11 | 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 | 2021-09-02 | 2021-10-11 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-09-02 | 2021-10-11 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-02 | 2021-10-11 | N |
Dispose of garbage and refuse properly. | Health | 2021-09-02 | 2021-10-11 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-02 | 2021-10-11 | N |
Report COVID19 data to residents and families. | Health | 2021-09-02 | 2021-10-11 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-02 | 2021-10-11 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-09-02 | 2021-10-11 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-02 | 2021-10-11 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-02 | 2021-10-11 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-02-10 | 2021-03-05 | Y |
Ensure each resident receives an accurate assessment. | Health | 2021-02-10 | 2021-03-05 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-02-10 | 2021-03-05 | Y |
Respond appropriately to all alleged violations. | Health | 2021-02-02 | 2021-02-19 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-02 | 2021-02-19 | Y |
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2021-02-02 | 2021-02-19 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-02 | 2021-02-19 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-02-02 | 2021-02-19 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-01 | 2020-11-03 | Y |
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 | 2020-10-29 | 2020-11-03 | Y |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-09-12 | 2019-10-28 | 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 | 2019-09-12 | 2019-10-25 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-09-12 | 2019-10-25 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-09-12 | 2019-10-25 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-12 | 2019-10-17 | 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 | 2019-09-12 | 2019-10-17 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-12 | 2019-10-17 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-09-12 | 2019-10-17 | 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 | 2019-09-12 | 2019-10-03 | N |
Respond appropriately to all alleged violations. | Health | 2019-09-12 | 2019-10-03 | 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 | 2019-09-12 | 2019-10-03 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-12 | 2019-10-03 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-12 | 2019-10-03 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-09-12 | 2019-10-03 | 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 | 2019-09-12 | 2019-10-03 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-12 | 2019-10-03 | 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 | 2019-09-12 | 2019-10-03 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-12 | 2019-10-03 | N |