CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Mission Point Nursing and Physical Rehabilitation Ce
View the most recent health deficiencies and inspection results for Mission Point Nursing and Physical Rehabilitation Ce. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mission Point Nursing and Physical Rehabilitation Ce. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-25 | 2025-10-10 | 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 | 2025-07-25 | 2025-09-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-25 | 2025-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-25 | 2025-09-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-07-25 | 2025-09-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-07-25 | 2025-09-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-07-25 | 2025-09-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-25 | 2025-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-25 | 2025-09-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-07-25 | 2025-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-25 | 2025-08-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-25 | 2025-08-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-07-25 | 2025-08-25 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-07-25 | 2025-08-25 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-07-25 | 2025-08-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-07-25 | 2025-08-25 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-07-25 | 2025-08-25 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-07-25 | 2025-08-25 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-07-25 | 2025-08-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-07-25 | 2025-08-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-07-25 | 2025-08-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-07-25 | 2025-08-25 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-07-25 | 2025-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-25 | 2025-08-25 | 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 | 2025-07-25 | 2025-08-25 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-12-06 | 2025-01-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-06 | 2025-01-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-06 | 2025-01-06 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-12-06 | 2025-01-06 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-12 | 2024-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-12 | 2024-09-19 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-08-12 | 2024-09-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-12 | 2024-09-12 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-12 | 2024-09-12 | 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 | 2024-08-12 | 2024-09-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-12 | 2024-09-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-12 | 2024-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-12 | 2024-09-12 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-08-12 | 2024-09-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-12 | 2024-09-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Post nurse staffing information every day. | Health | 2024-08-12 | 2024-09-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-08-12 | 2024-09-12 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-08-12 | 2024-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-12 | 2024-09-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-12 | 2024-09-12 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-08-12 | 2024-09-12 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-08-12 | 2024-09-12 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-08-12 | 2024-09-12 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-08-12 | 2024-09-12 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-08-12 | 2024-09-12 | 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 | 2024-08-12 | 2024-09-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-12 | 2024-09-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-08-12 | 2024-09-12 | 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 | 2024-08-12 | 2024-09-12 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-05-01 | 2024-06-07 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-05-01 | 2024-06-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-01 | 2024-05-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-03 | 2024-04-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-03 | 2024-04-26 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-07-14 | 2023-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-14 | 2023-08-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-14 | 2023-08-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-14 | 2023-08-14 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-07-14 | 2023-08-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-14 | 2023-08-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-14 | 2023-08-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-14 | 2023-08-14 | 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 | 2023-07-14 | 2023-08-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-08-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-14 | 2023-08-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-14 | 2023-08-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-07-14 | 2023-08-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-14 | 2023-08-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-07-14 | 2023-08-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-14 | 2023-08-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-14 | 2023-08-14 | 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 | 2023-07-14 | 2023-08-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-14 | 2023-08-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-14 | 2023-08-14 | N |