A list of the most recent deficiencies for Mission Nursing Home. 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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2023-12-13 | 2024-01-04 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-13 | 2024-01-04 | Y |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-12 | 2023-10-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-12 | 2023-09-29 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-12 | 2023-09-29 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-12 | 2023-09-29 | N |
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-07-12 | 2023-09-29 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-12 | 2023-09-28 | 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 | 2023-07-12 | 2023-09-28 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-12 | 2023-09-28 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-12 | 2023-09-27 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-07-12 | 2023-09-25 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-12 | 2023-09-25 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-12 | 2023-09-25 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-12 | 2023-09-05 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-12 | 2023-08-28 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-07-12 | 2023-08-20 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-07-12 | 2023-08-18 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-07-12 | 2023-08-18 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-24 | 2022-09-30 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-05 | 2022-05-03 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-05 | 2022-04-22 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-05 | 2022-04-20 | 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 | 2022-03-24 | 2022-04-19 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-05 | 2022-04-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-05 | 2022-04-11 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-05 | 2022-04-11 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-04-05 | 2022-04-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-05 | 2022-04-08 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-27 | 2021-07-06 | Y |
Respond appropriately to all alleged violations. | Health | 2021-05-27 | 2021-07-06 | Y |
Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-05-27 | 2021-07-06 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-07-06 | Y |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-07 | 2020-02-22 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-01-09 | 2020-02-18 | 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 | 2020-01-09 | 2020-02-18 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-09 | 2020-02-18 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-09 | 2020-02-18 | 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 | 2020-01-09 | 2020-02-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-02-18 | N |
Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-18 | 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 | 2020-01-07 | 2020-02-18 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-07 | 2020-02-18 | N |
Have exits that are accessible at all times. | Fire Safety | 2020-01-07 | 2020-02-14 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-07 | 2020-02-14 | N |