A list of the most recent deficiencies for Midwest Covenant 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-09 | 2023-04-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-09 | 2023-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-09 | 2023-04-15 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-13 | 2023-03-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-13 | 2023-03-29 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-03-13 | 2023-03-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-13 | 2023-03-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-21 | 2021-12-01 | 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 | 2021-10-21 | 2021-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-21 | 2021-12-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-21 | 2021-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-21 | 2021-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-12-01 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-10-21 | 2021-12-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-10-21 | 2021-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-19 | 2021-11-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-19 | 2021-11-08 | 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 | 2021-10-19 | 2021-11-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-10-19 | 2021-11-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-19 | 2021-10-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-08-04 | 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 | 2020-02-25 | 2020-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-25 | 2020-07-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-25 | 2020-07-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-27 | 2020-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-27 | 2020-03-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-27 | 2020-03-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-27 | 2020-03-20 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-27 | 2020-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-27 | 2020-03-20 | N |
| 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 | 2020-02-27 | 2020-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-03-19 | N |
