Deficiency Records for Mission Point Nsg and Phy Rehab Ctr of Beverly Hills
Updated as of November 01, 2019
This is not the most recent data for Mission Point Nsg and Phy Rehab Ctr of Beverly Hills. For the most recent information, click here.
A list of the most recent deficiencies for Mission Point Nsg and Phy Rehab Ctr of Beverly Hills. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-14 | 2019-06-21 | 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 | 2019-05-14 | 2019-06-21 | 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 | 2019-05-14 | 2019-06-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-14 | 2019-06-21 | 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 | 2019-05-14 | 2019-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-14 | 2019-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-14 | 2019-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-14 | 2019-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-14 | 2019-06-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-14 | 2019-06-21 | 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 | 2019-05-15 | 2019-06-21 | 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 | 2019-05-15 | 2019-06-21 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-15 | 2019-06-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-15 | 2019-06-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-05-15 | 2019-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-15 | 2019-06-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-05-15 | 2019-06-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-15 | 2019-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-15 | 2019-06-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-05-15 | 2019-06-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2019-05-15 | 2019-06-21 | 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 | 2019-05-15 | 2019-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-15 | 2019-06-21 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-05-15 | 2019-06-21 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-05-15 | 2019-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-15 | 2019-06-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-05-15 | 2019-06-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-15 | 2019-06-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-15 | 2019-06-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-15 | 2019-06-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-26 | 2019-03-25 | Y |
| 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 | 2019-02-26 | 2019-03-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-02-26 | 2019-03-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-03 | 2018-12-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-03 | 2018-12-21 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-12-03 | 2018-12-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-03 | 2018-12-21 | Y |
| 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 | 2018-12-03 | 2018-12-21 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-12-03 | 2018-12-21 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-12-03 | 2018-12-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-06-05 | 2018-06-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-06-05 | 2018-06-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-05 | 2018-06-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-05 | 2018-06-29 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-25 | 2018-06-12 | 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 | 2018-04-25 | 2018-06-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-25 | 2018-06-12 | 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 | 2018-04-25 | 2018-06-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Be properly staffed | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-25 | 2018-06-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-25 | 2018-05-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-04-25 | 2018-05-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-25 | 2018-05-24 | 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 | 2018-04-25 | 2018-05-24 | 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 | 2018-04-25 | 2018-05-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-04-25 | 2018-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-25 | 2018-05-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-25 | 2018-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-25 | 2018-05-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-25 | 2018-05-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-25 | 2018-05-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-25 | 2018-05-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-25 | 2018-05-24 | 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 | 2018-04-25 | 2018-05-24 | 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 | 2018-04-25 | 2018-05-24 | N |
| Provide or obtain dental services for each resident. | Health | 2018-04-25 | 2018-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-25 | 2018-05-24 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-04-25 | 2018-05-24 | 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 | 2017-12-21 | 2018-01-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-21 | 2018-01-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-21 | 2018-01-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-21 | 2018-01-19 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-15 | 2017-08-31 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-08-15 | 2017-08-31 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-02 | 2017-08-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-22 | 2017-07-20 | 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 | 2017-04-11 | 2017-04-21 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-11 | 2017-04-21 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-03-23 | 2017-04-21 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-03-23 | 2017-04-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-23 | 2017-04-21 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-03-23 | 2017-04-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-03-23 | 2017-04-21 | 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 | 2017-03-23 | 2017-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-23 | 2017-04-21 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-03-23 | 2017-04-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-23 | 2017-04-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-23 | 2017-04-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-03-23 | 2017-04-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-03-23 | 2017-04-21 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-03-23 | 2017-04-21 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-03-23 | 2017-04-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-03-23 | 2017-04-21 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-03-23 | 2017-04-21 | 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 | 2017-03-23 | 2017-04-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-03-23 | 2017-04-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-03-23 | 2017-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-23 | 2017-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-03-23 | 2017-04-14 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-12-13 | 2017-02-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-05 | 2017-02-02 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-19 | 2017-02-02 | Y |
| 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 | 2016-12-19 | 2017-02-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-19 | 2017-02-02 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-12-19 | 2017-02-02 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-13 | 2017-02-02 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-10 | 2016-11-25 | Y |
