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 |
