Deficiency Records for Mission Point Nursing and Rehab Center of Holly
Updated as of December 01, 2018
This is not the most recent data for Mission Point Nursing and Rehab Center of Holly. For the most recent information, click here.
A list of the most recent deficiencies for Mission Point Nursing and Rehab Center of Holly. 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? |
|---|---|---|---|---|
| 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 | 2018-08-21 | 2018-10-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-21 | 2018-10-15 | 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 | 2018-08-21 | 2018-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-21 | 2018-10-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-21 | 2018-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-21 | 2018-10-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-08-21 | 2018-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-21 | 2018-10-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-21 | 2018-10-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-08-21 | 2018-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-21 | 2018-10-15 | N |
| Be properly staffed | Fire Safety | 2018-08-21 | 2018-10-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-21 | 2018-10-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-15 | 2018-09-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-15 | 2018-09-07 | 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 | 2018-08-15 | 2018-09-07 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-08-15 | 2018-09-07 | 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 | 2018-08-15 | 2018-09-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-15 | 2018-09-07 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-08-15 | 2018-09-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-31 | 2017-06-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-05-31 | 2017-06-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-05-31 | 2017-06-01 | N |
