A list of the most recent deficiencies for Moorhead Restorative Care Center. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-20 | 2023-12-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-20 | 2023-12-23 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2023-10-17 | 2023-12-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-07 | 2023-11-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-11-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-20 | 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 | 2023-10-19 | 2023-11-20 | N |
| Post nurse staffing information every day. | Health | 2023-10-19 | 2023-11-20 | 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 | 2023-10-19 | 2023-11-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-17 | 2023-11-20 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-05-11 | 2023-06-19 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-05-11 | 2023-06-16 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-05-11 | 2023-06-16 | 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 | 2023-05-11 | 2023-06-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-11 | 2023-06-16 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-05-11 | 2023-06-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-05-11 | 2023-06-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-11 | 2023-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-11 | 2023-06-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-11 | 2023-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-11 | 2023-06-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-11 | 2023-06-16 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-05-11 | 2023-06-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-11 | 2023-06-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-11 | 2023-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-11 | 2023-06-16 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-05-11 | 2023-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-11 | 2023-06-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-11 | 2023-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-09 | 2023-06-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-09 | 2023-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-09 | 2023-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-01 | 2023-01-10 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-01 | 2023-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2023-01-10 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-12-01 | 2023-01-10 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-14 | 2023-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-14 | 2023-01-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-01 | 2023-01-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-01 | 2023-01-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-01 | 2023-01-03 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-12-01 | 2023-01-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-01 | 2023-01-03 | 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 necessary and PRN use is limited. | Health | 2022-12-01 | 2023-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2023-01-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-12-01 | 2023-01-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-12-01 | 2023-01-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-01 | 2023-01-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-01 | 2023-01-03 | 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 | 2022-12-01 | 2023-01-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-14 | 2022-12-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-14 | 2022-12-28 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-01 | 2022-12-28 | 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 | 2022-12-01 | 2022-12-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-01 | 2022-12-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-01 | 2022-12-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-01 | 2022-12-28 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2022-11-16 | 2022-11-23 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-04-08 | 2022-04-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-22 | 2022-03-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-22 | 2022-02-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-22 | 2022-02-18 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-12-22 | 2022-02-18 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-22 | 2022-02-18 | Y |
| 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 | 2021-11-22 | 2021-12-10 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-11-05 | 2021-12-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-05 | 2021-12-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-05 | 2021-12-10 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-05 | 2021-12-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-13 | 2021-11-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-16 | 2021-07-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-16 | 2021-07-26 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-16 | 2021-07-26 | Y |
