A list of the most recent deficiencies for Mitchell 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? |
|---|---|---|---|---|
| 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 | 2023-09-26 | 2023-11-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-26 | 2023-11-10 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-09-26 | 2023-11-10 | 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 | 2023-09-26 | 2023-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-26 | 2023-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-26 | 2023-11-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-09-26 | 2023-11-10 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-21 | 2023-10-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-21 | 2023-10-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-21 | 2023-10-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-01 | 2023-04-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-26 | 2022-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-26 | 2022-08-26 | N |
| Use approved construction type or materials. | Fire Safety | 2022-07-21 | 2022-08-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-21 | 2022-08-26 | 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 | 2022-07-21 | 2022-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-21 | 2022-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-21 | 2022-08-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-21 | 2021-06-02 | 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 | 2021-04-21 | 2021-06-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-04-21 | 2021-06-02 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-21 | 2021-06-02 | N |
| Post nurse staffing information every day. | Health | 2021-04-21 | 2021-06-02 | 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 | 2021-04-21 | 2021-06-02 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2021-04-21 | 2021-06-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-15 | 2021-06-02 | N |
