Deficiency Records for Mission Point Nsg and Phy Rehab of Superior Woods
Updated as of April 01, 2019
This is not the most recent data for Mission Point Nsg and Phy Rehab of Superior Woods. For the most recent information, click here.
A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab of Superior Woods. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-27 | 2018-11-01 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-21 | 2018-06-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-05-21 | 2018-06-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-21 | 2018-06-22 | N |
| Be properly staffed | Fire Safety | 2018-05-21 | 2018-06-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-21 | 2018-06-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-21 | 2018-06-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-23 | 2018-06-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-23 | 2018-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-23 | 2018-06-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-23 | 2018-06-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-23 | 2018-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-23 | 2018-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-23 | 2018-06-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-05-23 | 2018-06-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-05-23 | 2018-06-15 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2017-04-17 | 2017-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-17 | 2017-06-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-04-17 | 2017-06-05 | N |
| Completely assess the resident at least every twelve months. | Health | 2017-04-13 | 2017-05-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-13 | 2017-05-10 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-04-13 | 2017-05-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-13 | 2017-05-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-04-13 | 2017-05-10 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2017-04-13 | 2017-05-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-13 | 2017-05-10 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-13 | 2017-05-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-04-13 | 2017-05-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-09-27 | 2016-10-31 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-09-27 | 2016-10-31 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-09-27 | 2016-10-31 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-09-27 | 2016-10-31 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-09-27 | 2016-10-31 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-08-15 | 2016-09-19 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-15 | 2016-09-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-01-24 | 2016-09-17 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-08-01 | 2016-09-05 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-08-01 | 2016-09-05 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-01 | 2016-09-05 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-07-18 | 2016-08-19 | Y |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-05-10 | 2016-06-10 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-05-10 | 2016-06-10 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-05-10 | 2016-06-10 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-10 | 2016-06-10 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-05-03 | 2016-06-10 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-05-03 | 2016-06-10 | N |
| 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 | 2016-05-03 | 2016-06-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-05-03 | 2016-06-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-05-03 | 2016-06-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-05-03 | 2016-06-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-03 | 2016-06-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-05-03 | 2016-06-10 | 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 | 2016-05-03 | 2016-06-10 | 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 | 2016-05-03 | 2016-06-10 | 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 | 2016-05-03 | 2016-06-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-05-03 | 2016-06-10 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-05-03 | 2016-06-10 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-05-03 | 2016-06-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-03 | 2016-06-10 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-05-03 | 2016-06-10 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-03 | 2016-06-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-05-03 | 2016-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-03 | 2016-06-10 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-05-03 | 2016-06-10 | Y |
